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Published on: August 9, 2012
[Management Of Blader Exstrophy In Children At The CHU Gabriel Touré]
I Amadou1, Y M Coulibaly1, O M Coulibaly1
1Service de chirurgie pédiatrique, CHU Gabriel TOURE, Bamako, Mali.
Aims:
To describe the clinical and evolutionary aspects of the primary closure of exstrophy at the CHU Gabriel Touré.
Materials And Methods:
This was a retrospective and prospective study carried out from January 2014 to December 2019 in all the children admitted and operated on for bladder exstrophy at the CHU Gabriel Touré.
Results:
We collected 35 cases of exstrophy, ie25 boys and 10 girls. The mean age at diagnosis was 4.8 months. The bladder plate was both normal and budded, ie 28.6% of cases. Plaque infection was found in 45.7%. A malformation was associated in 34.3% of cases. Primary plaque closure was achieved in all of our patients. Postoperative morbidity was 28.6% of cases and mortality 11.4% of cases.
Conclusion:
Bladder exstrophy is a rare malformation of the urogenital sphere, its management is complex and its mortality is not null.
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