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[Bladder exstrophy]

P D Mouriquand1, Y D Wilcox

  • 1Department of Pediatric Urology, Great Ormond Street Hospital for Children, London, U.K.

Archivos Espanoles De Urologia
|October 17, 1998
PubMed
Summary
This summary is machine-generated.

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.

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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.

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  • 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.