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Updated: Jun 3, 2026

Vessel-sparing Excision and Primary Anastomosis
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Continent urinary diversion in the epispadias-exstrophy complex.

David Chalmers1, Fernando Ferrer

  • 1Division of Urology, Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Seminars in Pediatric Surgery
|April 2, 2011
PubMed
Summary

Continent urinary diversion offers reliable urinary continence for epispadias-exstrophy patients. Bladder augmentation and catheterizable stomas, with or without bladder neck closure, improve quality of life.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Epispadias-exstrophy complex often leads to urinary incontinence.
  • Continent urinary diversion is a common surgical solution to improve continence and quality of life.

Purpose of the Study:

  • To define the patient population suitable for continent urinary diversion.
  • To evaluate the benefits and implications of concurrent bladder augmentation and closure of the bladder neck.
  • To review current literature on continence outcomes and complications.

Main Methods:

  • Review of patient populations considered for continent urinary diversion.
  • Analysis of concurrent augmentation and bladder neck closure techniques.
  • Literature review of continence outcomes and complications.

Main Results:

  • Urinary continence is achievable in complex epispadias-exstrophy cases.
  • Bladder augmentation combined with intermittent catheterization via a stoma is effective.
  • Bladder neck closure may be performed concurrently.

Conclusions:

  • Continent urinary diversion is a viable option for achieving urinary continence in epispadias-exstrophy patients.
  • Bladder augmentation and intermittent catheterization provide reliable continence.
  • Careful patient selection and surgical planning are crucial.