ABSTRACT
Introduction
The surgical correction of bladder exstrophy remains challenging. In our institution, the repair has evolved from a staged repair to one-stage reconstruction. The one-stage reconstruction includes; bladder closure, Cantwell-Ransley neourethroplasty and abdominoplasty using groin flaps, without the need of pelvic ostheotomies. Repair of urinary continence (UC) and vesicoureteral reflux (VUR) is done after development of the infant.
Objective
To present our experience of our modified one-stage reconstruction of bladder exstrophy in male patients.
Materials and Methods
Medical records of male patients submitted to one-stage reconstruction of bladder exstrophy were analyzed retrospectively. Fifteen exstrophy bladder patients with mean age 4.2±7 years were treated at our institution between 1999-2013.
Results
22. Jeffs RD. Functional closure of bladder exstrophy. Birth Defects Orig Artic Ser. 1977;13:171-3. 55. Grady RW, Mitchell ME. Surgical techniques for one-stage reconstruction of the exstrophyeepispadias complex. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. Philadelphia: Saunders Elsevier Publishers; 2007; pp. 3553-72.
Conclusions
One-stage reconstruction minimizes the number of surgical procedures required to achieve UC and potentiates bladder-neck function. The advantages of using groin flaps over current techniques for complete repair are the small risk for penile tissue loss and the avoidance of ostheotomies.
Bladder Exstrophy; Reconstructive Surgical Procedures; Male; Patients
