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Flaps for the repair of bladder exstrophy
1Department of Urology, Liaoning Provincial People's Hospital, Shenyang.
Chinese Medical Journal
|March 1, 1993
Summary
Flap surgery successfully repaired congenital bladder exstrophy in 17 patients, restoring bladder function and urinary control in most cases. Renal and bladder functions remained normal during follow-up.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Congenital bladder exstrophy presents significant surgical challenges.
- Previous surgical attempts in 11 patients failed to achieve a functional bladder.
- Flap techniques offer a potential solution for complex bladder exstrophy cases.
Observation:
- Seventeen patients with congenital bladder exstrophy underwent surgical repair using flap techniques.
- The study period was from April 1986 to March 1992.
- Various flap types, including skin, fasciae, and vascular pedicles, were utilized.
Findings:
- A functional bladder was achieved in 16 out of 17 patients.
- Immediate post-catheter removal urinary control was good in 14 patients.
- Long-term follow-up (up to 3 years) showed normal renal and bladder function in all cases.
- One patient had incomplete urinary control post-surgery.
Implications:
- Flap surgery, utilizing central vascular supply, is a viable and effective treatment for congenital bladder exstrophy.
- This reconstructive approach can restore bladder function and improve quality of life.
- The technique's versatility suits various exstrophy deformities.