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Related Experiment Videos

[Bladder exstrophy. Treatment results over 27 years].

K Gdanietz1, C Kriewald, M Kriewald

  • 1Kinderchirurgische Klinik, Klinikum Berlin-Buch.

Zentralblatt Fur Chirurgie
|January 1, 1990
PubMed
Summary

Long-term follow-up of bladder exstrophy patients reveals ureterosigmoidostomy complications, while other reconstructive techniques show promising results for continence and fewer metabolic issues.

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[Urethral replacement with free urinary bladder mucosal transplant].

Zentralblatt fur Chirurgie·1991

Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Context:

  • Bladder exstrophy is a complex congenital anomaly requiring surgical intervention.
  • This study reviews outcomes of various surgical procedures for bladder exstrophy over a significant period.

Purpose:

  • To evaluate the long-term efficacy and complications of different surgical approaches for bladder exstrophy.
  • To assess patient outcomes regarding continence, metabolic status, and psychosocial well-being.

Summary:

  • 47 bladder exstrophy patients underwent 7 different procedures between 1960-1988.
  • Ureterosigmoidostomy was associated with electrolyte disturbances and metabolic acidosis.
  • Sigmoid conduit, rectal bladder, and bladder reconstruction techniques demonstrated unremarkable findings and satisfactory continence.

Impact:

  • Highlights the risks of ureterosigmoidostomy, advocating for alternative reconstructive methods.
  • Provides valuable long-term data on functional and psychosocial outcomes in bladder exstrophy management.
  • Informs surgical decision-making for improved patient quality of life.

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