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Long-term results of ureterosigmoidostomy in children with bladder exstrophy
The Journal of Urology
|July 1, 1975
Insights
Ureterosigmoidostomy with cystectomy offers a viable treatment for bladder exstrophy, preserving upper urinary tracts. This surgical approach provides a socially acceptable method for managing diverted urine in children.
Area of Science:
- Pediatric Surgery
- Urology
- Medical History
Background:
- Bladder exstrophy is a complex congenital anomaly requiring surgical intervention.
- Historically, managing bladder exstrophy presented significant challenges for patient outcomes and quality of life.
Purpose of the Study:
- To evaluate the long-term efficacy of ureterosigmoidostomy with cystectomy in treating bladder exstrophy.
- To assess the suitability of this procedure for upper tract preservation and urinary diversion.
Main Methods:
- Retrospective review of medical records.
- Analysis of 87 pediatric cases of bladder exstrophy treated between 1912 and 1935.
Main Results:
- Ureterosigmoidostomy combined with cystectomy demonstrated satisfactory outcomes for bladder exstrophy.
- The procedure showed suitability for preserving upper urinary tracts.
- It offered an acceptable method for managing diverted urine.
Conclusions:
- Ureterosigmoidostomy with cystectomy is a recommended surgical solution for bladder exstrophy.
- This technique effectively addresses upper tract integrity and provides social acceptability for urinary diversion.
Abstract:
The records of 87 children with bladder exstrophy seen between 1912 and 1935 are reviewed. We believe that ureterosigmoidostomy with cystectomy can provide a satisfactory solution to the problem of bladder exstrophy. Furthermore, ureterosigmoidostomy appears suitable from the standpoint of preservation of upper tracts and provides a socially acceptable solution of the question of disposal of the diverted urine.