Complications of primary closure of classic bladder exstrophy

The Journal of Urology
Anthony J SchaefferJohn P Gearhart

Abstract

We report the urological, orthopedic and neurological complications of primary closure of classic bladder exstrophy using modern staged repair of exstrophy. An approved database identified 137 males and 57 females with classic bladder exstrophy who underwent primary repair by 1 of 2 surgeons in 23 years. A total of 185 patients underwent primary closure using modern staged repair of exstrophy with or without osteotomies, whereas 9 underwent delayed primary closure with epispadias repair at age 12 months. Of the patients 63 received osteotomies. Mean age at closure was 60 days and mean followup was 9 years. There were 14 major complications (11%) and 27 minor complications (14%). Major urological complications included bladder prolapse or dehiscence in 6 male patients (3%), which was successfully reclosed. Major orthopedic complications, including osteotomy nonunion in 2 cases, leg length inequality in 1 and persistent joint pain in 1, developed in 4 of the 63 patients (6%) who underwent osteotomy. Major neurological complications included femoral nerve palsy in 4 patients (2%). There were 21 minor urological complications (11%), including posterior bladder outlet obstruction in 4 cases, urethrocutaneous fistula in 2, suprapubic...Continue Reading

References

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Citations

Jul 7, 2015·The Journal of Urology·Jacob Ben-ChaimYuval Bar-Yosef
Aug 23, 2012·The Journal of Urology·Michaella M PrasadEarl Y Cheng
Jul 26, 2011·The Journal of Urology·Anthony J SchaefferJohn P Gearhart
Jul 20, 2010·Journal of Pediatric Urology·Angela M ArlenJ Christopher Austin
Jul 17, 2010·Journal of Pediatric Urology·Abdol-Mohammad KajbafzadehMohammad Javad Mohseni
Jul 3, 2013·The Journal of Urology·M Chad WallisPatrick C Cartwright
Jul 23, 2013·The Journal of Urology·I MushtaqP Cuckow
Apr 20, 2014·The Journal of Urology·Brian M InouyeJohn P Gearhart
Nov 22, 2011·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Amilcar Martins GironMiguel Srougi
Jun 9, 2020·Frontiers in Pediatrics·Anne-Karoline EbertWolfgang H Rösch
May 11, 2021·Journal of Pediatric Urology·Preeya KhandgeJohn P Gearhart
Jun 19, 2016·Pediatrics·David I ChuGregory E Tasian

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