PMID: 11337291May 19, 2001Paper

Bladder preservation in adult classic exstrophy: early results of four patients

Urology
H R PathakM G Andankar

Abstract

To report our experience with the treatment of classic exstrophy of the bladder in a small series of adult patients using ileocystoplasty, bladder neck reconstruction, and abdominal wall closure with flaps. The presentation of exstrophy of the bladder in adulthood is rare. The problems encountered include difficulty in abdominal closure, malignant potential, and upper tract dysfunction. The treatment of choice has been cystectomy with urinary diversion in all reported cases. We treated 4 adult male patients with classic exstrophy of the bladder and complete epispadias. They had not received any previous treatment. Multiple random bladder biopsies revealed nonspecific inflammatory changes with focal areas of keratinization. Three patients were treated in two stages. The first stage included ileocystoplasty, bladder neck reconstruction, and abdominal wall closure with the use of flaps. The epispadias was repaired in the second stage. In 1 patient, the reconstruction was completed in a single stage. All patients were continent at the last follow-up visit, with three using self-catheterization and one voiding spontaneously. The renal parameters and ultrasound scans were normal at a follow-up of 2 to 48 months. Cystoscopy performed ...Continue Reading

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Citations

Jul 17, 2012·Journal of Pediatric Urology·Ahmed Ismail Shoukry, Ismail Shoukry
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·R B NerliS S Amarkhed
Apr 16, 2002·Current Opinion in Urology·Raimund Stein, Joachim W Thüroff
Apr 21, 2009·Journal of Pediatric Urology·Javier Quiroz-GuerreroRafael Maldonado-Valadez
Apr 21, 2016·Current Opinion in Urology·Alonso Carrasco, Vijaya M Vemulakonda
Oct 27, 2001·BJU International·J P Gearhart
Jun 14, 2012·Postgraduate Medicine·Qin ZhangBao-Jun Gu
Dec 27, 2019·The Journal of International Medical Research·Zhanyong ZhuMoris Topaz

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