PMID: 1207317Nov 1, 1975Paper

An assessment of the functional results of various forms of surgery for epispadias and exstrophy (author's transl)

Langenbecks Archiv für Chirurgie
H B Eckstein

Abstract

Urinary continence can be achieved by total reconstruction in perhaps 20 percent of patients born with exstrophy of the bladder. Uretero-rectal anastomosis offers a reasonalbe alternative but carries a high morbidity. Cutaneous diversion is the safest form of long-term management, but this involves the life-long penalty of a stoma and the need for appliances. Conservative reconstructive surgery is advocated in the first instance, but repeated surgical procedures may be necessary for a successful result.

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