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Summary
Trigonosigmoidostomy offers excellent long-term results for bladder exstrophy patients, preserving ureterotrigonal function and preventing pyelonephritis. This surgical technique allows for normal social and sexual lives, even in complex cases.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Urology
Background:
- Bladder exstrophy is a complex congenital anomaly requiring specialized surgical management.
- Urinary diversion is often necessary, posing challenges for long-term function and quality of life.
Purpose of the Study:
- To evaluate the indications, surgical technique, and long-term outcomes of trigonosigmoidostomy.
- To assess the functional integrity of the ureterotrigonal junction and the incidence of complications.
Main Methods:
- Retrospective analysis of 26 cases undergoing trigonosigmoidostomy for bladder exstrophy.
- Evaluation of long-term results, including renal function, infection rates, and patient quality of life.
Main Results:
- Excellent results were observed in 20 cases, satisfactory in 4, and poor in 2.
- The ureterotrigonal junction function remained intact up to 20 years post-surgery.
- No cases of ascending pyelonephritis were reported; normal social and sexual function was achieved.
Conclusions:
- Trigonosigmoidostomy is a viable and effective option for urinary diversion in bladder exstrophy.
- The procedure ensures preserved renal function and good quality of life, even when internal diversion is contraindicated.