Modern Management of Bladder Exstrophy Repair

The exstrophy–epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall musculature, and pelvic bones. Historically, surgical outcomes in patients with classic bladder exstrophy, the most common presentation of the exstrophy–epispadias complex, were poor. Howev...

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Bibliographic Details
Published in:Current urology reports 2013-08, Vol.14 (4), p.359-365
Main Authors: Inouye, Brian M., Massanyi, Eric Z., Di Carlo, Heather, Shah, Bhavik B., Gearhart, John P.
Format: Article
Language:English
Subjects:
Bladder Exstrophy - complications
Bladder Exstrophy - surgery
Epispadias - complications
Epispadias - surgery
Humans
Medicine
Medicine & Public Health
Nephrology
Pediatric Urology (M Castellan and R Gosalbez
Reconstructive Surgical Procedures
Section Editors
Urology
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Summary:The exstrophy–epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall musculature, and pelvic bones. Historically, surgical outcomes in patients with classic bladder exstrophy, the most common presentation of the exstrophy–epispadias complex, were poor. However, modern techniques have increased the success of achieving urinary continence, satisfactory cosmesis, and improved quality of life. Still, recent studies recognize complications that may occur during management of these patients. This review provides readers with an overview of the exstrophy–epispadias complex, the modern management of bladder exstrophy, and potential surgical complications.
ISSN:1527-2737
1534-6285
DOI:10.1007/s11934-013-0332-y