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Related Experiment Videos

Continence in cases of bladder exstrophy.

A G Toguri, B M Churchill, J F Schillinger

    The Journal of Urology
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    In patients with closed continent exstrophy, early continence within a year was associated with specific surgical procedures like Young-Dees urethroplasty and Marshall-Marchetti-Krantz suspension. This improved continence length and outcomes.

    Area of Science:

    • Urology
    • Pediatric Surgery
    • Reconstructive Surgery

    Background:

    • Bladder exstrophy is a complex congenital anomaly requiring surgical correction.
    • Achieving urinary continence is a primary goal in managing exstrophy cases.
    • Closed continent exstrophy presents unique challenges in surgical reconstruction and functional outcomes.

    Purpose of the Study:

    • To investigate the relationship between surgical procedures and the onset and duration of continence in patients with closed continent exstrophy.
    • To identify surgical techniques associated with successful continence.
    • To evaluate factors influencing continence length post-surgery.

    Main Methods:

    • Retrospective analysis of 21 patients with closed continent exstrophy.
    • Review of surgical procedures, including Young-Dees urethroplasty and Marshall-Marchetti-Krantz suspension.

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  • Assessment of the timing of continence onset and continence length (measured in cm).

    • Main Results:

    • Continence was achieved within one year in 13 out of 21 patients.
    • Ten of these 13 patients had undergone both Young-Dees urethroplasty and Marshall-Marchetti-Krantz suspension.
    • Continence length exceeded 1 cm in 11 of the 13 patients with early continence.
    • In the 8 patients with delayed continence (beyond one year), only one had undergone both bladder neck procedures.

    Conclusions:

    • Young-Dees urethroplasty combined with Marshall-Marchetti-Krantz suspension appears to be a successful surgical approach for achieving early and sustained continence in closed continent exstrophy.
    • The combination of these specific surgical procedures is linked to improved continence length.
    • Surgical strategy significantly impacts the success of continence in patients with closed continent exstrophy.