Related Experiment Video

Updated: May 21, 2026

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
10:19

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Published on: August 9, 2012

Combined bladder exstrophy and epispadias repair

Ranjit Chaudhary1, Ashwin Apte, Rajkumar Mehta

  • 1Department of Surgery, Unit of Urology, People's College of Medical Sciences, Bhopal, India.

BMJ Case Reports
|June 9, 2012
PubMed

Insights

This study details a successful combined bladder exstrophy and epispadias repair in a 2-year-old boy. The surgical approach achieved good cosmetic results and functional urinary continence, with a minor fistula successfully managed.

Area of Science:

  • Pediatric Urology
  • Reconstructive Surgery
  • Congenital Anomalies

Background:

  • Exstrophy-epispadias complex is a rare congenital condition requiring complex surgical correction.
  • Early intervention is crucial for optimal functional and cosmetic outcomes in affected children.
  • This case involves a 2-year-old male with untreated bladder exstrophy and epispadias.

Observation:

  • The patient underwent a combined bladder exstrophy and epispadias repair under general anesthesia.
  • Surgical procedures included bilateral anterior innominate and vertical iliac osteotomy due to wide pubic diastasis.
  • A modified Cantwell-Ransley repair was utilized for urethroplasty and penile reconstruction.

Findings:

  • The repair resulted in excellent cosmetic outcomes and good approximation of pubic and rectus muscles.
  • Post-operatively, the patient achieved urethal voiding, with a small penopubic fistula noted and subsequently managed.
  • Urine culture remained sterile, and the patient was discharged on prophylactic antibiotics.

Implications:

  • This case highlights the efficacy of a combined surgical approach for complex bladder exstrophy and epispadias.
  • Successful reconstruction can lead to improved cosmetic appearance and urinary function in affected children.
  • Further follow-up is essential to monitor long-term outcomes and address any potential complications.

More Related Videos

Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...