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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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One stage functional reconstruction of exstrophied bladder: report of two cases with six-year follow-up

C A Montagnani

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |September 1, 1982
    PubMed

    Insights

    This study presents a single-stage surgical reconstruction for bladder exstrophy in infants, achieving improved bladder function and continence. Early anti-reflux procedures are crucial for successful outcomes in bladder exstrophy repair.

    Area of Science:

    • Pediatric Surgery
    • Urology
    • Reconstructive Surgery

    Background:

    • Bladder exstrophy is a complex congenital anomaly requiring specialized surgical intervention.
    • Functional reconstruction aims to restore bladder capacity, continence, and prevent complications.

    Observation:

    • Two female infants (8 and 13 months) underwent single-stage bladder exstrophy reconstruction.
    • Procedures included innominate osteotomy, bladder closure, anti-reflux, outlet narrowing, and pubic reapproximation.

    Findings:

    • The first patient achieved bladder enlargement, improving continence without reflux or infection.
    • The second patient attained continence after secondary outlet surgery and muscle transplant.
    • Both cases demonstrated absence of reflux, infection, and pyelonephritis, indicating safe bladder enlargement.

    Implications:

    • Single-stage reconstruction offers satisfactory functional results for bladder exstrophy.
    • Early anti-reflux procedures (in infants >3-4 months) are recommended for optimal outcomes.
    • Further surgery may be avoided with patient cooperation and achieved urinary control.

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