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[Bladder exstrophy]
1Department of Pediatric Urology, Great Ormond Street Hospital for Children, London, U.K.
Archivos Espanoles De Urologia
|October 17, 1998
Summary
Surgical repair of bladder exstrophy and epispadias aims for urinary control. While successful in many cases, reconstructive surgery for bladder exstrophy has variable outcomes, and further options may be needed.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Reconstruction
Context:
- Bladder exstrophy is a rare congenital condition requiring complex surgical correction.
- Achieving urinary continence is a primary goal in managing bladder exstrophy and epispadias.
- Previous attempts at repair may fail, necessitating further reconstructive strategies.
Purpose:
- To outline surgical procedures for bladder exstrophy closure and epispadias repair.
- To detail techniques for achieving urinary continence.
- To describe management approaches for failed bladder exstrophy repairs.
Summary:
- Surgical closure of bladder exstrophy is typically performed in neonates with pelvic osteotomy.
- The Cantwell-Ransley technique is favored for epispadias repair, and the Young-Dees-Leadbetter procedure for bladder neck reconstruction.
- Reported success rates vary, with some studies indicating high success but also significant failure rates.
Impact:
- Current surgical techniques offer a high success rate but no definitive solution for bladder exstrophy.
- Continent urinary diversion remains a viable option for select cases.
- Further research may lead to improved long-term outcomes and management strategies for bladder exstrophy.