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Anatomical repair of exstrophy bladder
Kulkarni Bharati1, Jiwane Ashish, Tarun Kumar
1Department of Pediatric Surgery, LTMMC and General Hospital, Sion, Mumbai 22, India.
Pediatric Surgery International
|May 19, 2004
Summary
This study presents a single-stage anatomical repair for bladder exstrophy and epispadias in infants. The technique successfully achieved anatomical closure and demonstrated positive cosmetic and functional outcomes.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Bladder exstrophy is a rare congenital anomaly requiring complex surgical correction.
- Existing repair methods often involve multiple stages and may have variable outcomes.
Purpose of the Study:
- To describe a novel single-stage anatomical repair for bladder exstrophy with epispadias.
- To evaluate the cosmetic and functional results of this technique in infants.
Main Methods:
- A single-stage surgical repair was performed on ten infants (1.5-6 months old).
- The technique involved anatomical closure and skin relocation from an infraphallic to a supraphallic position.
Main Results:
- The described method achieved successful anatomical closure in all ten patients.
- Cosmetic and functional results were evaluated, with advantages of the technique detailed.
Conclusions:
- The single-stage anatomical repair for bladder exstrophy with epispadias offers a promising approach.
- This technique provides a viable option for achieving satisfactory cosmetic and functional outcomes in affected infants.