Bladder Exstrophy: Evaluation of Factors Leading to Continence With Spontaneous Voiding After Staged Reconstruction
| Autor: | Y. Melin, P. Lombrail, P. Beze-Beyrie, Marc Cendron, J. Cendron, H. Lottmann |
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| Rok vydání: | 1997 |
| Předmět: | |
| Zdroj: | Journal of Urology. 158:1041-1044 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | Purpose: We performed a long-term retrospective review of patients with bladder exstrophy to evaluate the results of staged surgical reconstruction in regard to urinary continence, spontaneous voiding and preservation of the upper urinary tract.Materials and Methods: We reviewed the charts of 42 boys and 15 girls treated at Hopital St. Joseph for bladder exstrophy between 1965 and 1995. All patients underwent staged repair, including bladder augmentation in 7 (12%) and secondary urinary diversion in 13 (23%). Criteria for good outcome in terms of continence are defined and factors influencing outcomes are reviewed.Results: A total of 38 patients (67%) achieved good or acceptable urinary continence (22 or 39% and 16 or 28%, respectively). Outcome was poor in 19 patients, including 13 (23%) who underwent secondary urinary diversion. Bladder stones, which developed in 13 patients (23%), were the most common long-term complication of bladder exstrophy reconstruction. Ten patients who underwent pelvic ... |
| Databáze: | OpenAIRE |
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