Continence and classic bladder exstrophy treated with staged repair

The Journal of Urology
Matthew B K ShawAnthony J Casale

Abstract

Urinary continence rates after reconstruction of the urinary tract for classic bladder exstrophy are variable. We review our experience with procedures required to optimize continence. We retrospectively reviewed the charts of patients with classic bladder exstrophy undergoing staged reconstruction between 1976 and 2001. Continence was reviewed and associated with the procedures performed. Patients were considered continent if dry for greater than 3 hours with no stress incontinence and dry at night. Partial continence required dryness for 1 to 3 hours, minor stress incontinence and occasional nighttime leakage. Incontinent patients were dry for less than 1 hour, had significant stress incontinence or were wet at night. Patients were followed for a median of 12.5 years. Continence was achieved in 43 of 48 patients (90%), partial continence in 4 (8%) and 1 (2%) remains incontinent. Continence occurred before bladder neck repair in 4 patients. Bladder neck repair alone (without augmentation) was performed in 38 patients at a median of 4.25 years, resulting in continence in 13 patients (34%). However, 6 of these 13 patients later required augmentation. Augmentation was performed in 33 patients, with 30 (91%) attaining continence a...Continue Reading

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Citations

Mar 7, 2006·World Journal of Urology·C R J WoodhouseJohn P Gearhart
Apr 19, 2008·Current Urology Reports·Kurt R Eeg, Antoine E Khoury
Jul 9, 2013·Current Urology Reports·Sumit Dave, Joao Luiz Pippi Salle
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Feb 18, 2014·Journal of Pediatric Surgery·Alan P Dickson
Jul 26, 2011·The Journal of Urology·Anthony J SchaefferJohn P Gearhart
Jun 7, 2011·Journal of Pediatric Urology·Anju GoyalA P Dickson
Apr 2, 2011·Seminars in Pediatric Surgery·David Chalmers, Fernando Ferrer
Apr 2, 2011·Seminars in Pediatric Surgery·J Todd Purves
Apr 2, 2011·Seminars in Pediatric Surgery·Joseph G Borer
Aug 22, 2008·The Journal of Urology·Patricio C GargolloAlan B Retik
Apr 18, 2016·Journal of Pediatric Urology·Jason E MichaudJohn P Gearhart
Mar 1, 2012·Journal of Pediatric Urology·Anthony J SchaefferRanjiv I Mathews
Feb 7, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Michaela Dellenmark-BlomGundela Holmdahl
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Aug 16, 2021·Journal of Pediatric Urology·Katie L CanalichioMargarett Shnorhavorian

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