Continence and quality of life with the modified Heitz-Boyer-Hovelacque rectal bladder for children with urinary incontinence following bladder exstrophy

Journal of Pediatric Urology
M MessinaA Bianchi

Abstract

Bladder exstrophy and epispadias are severe congenital anomalies associated with an open bladder and urinary sphincter. Despite modern reconstruction, there is a significant incidence of residual or recurrent urinary incontinence that impacts on quality of life (QoL) and self-esteem, which in turn limits social interaction (Figure). The present study involved 14 patients, mainly from a Middle Eastern country, and reported the early findings with a modification of the Heitz-Boyer-Hovelacque rectal bladder technique for both urinary and faecal control. Fourteen children, with a median age of 8.1 years, with poor quality of life and low self-esteem because of urinary incontinence and small polypoidal open bladders of 5-15 ml volume, mostly after bladder exstrophy surgery, were managed with a modification of the Heitz-Boyer-Hovelacque rectal bladder technique keeping an intact anal sphincter. The retrorectal pulled-through colon was anastomosed to the posterior wall of the rectum just above the external sphincter complex, thereby avoiding any possible injury to the anal sphincter. All patients had a normal colon and a competent anal sphincter without lumbosacral spinal or nerve anomalies. Ten children had a 5- to 10-year follow-up,...Continue Reading

References

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May 15, 2004·BJU International·T NitkunanC R J Woodhouse
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Nov 3, 2009·Orphanet Journal of Rare Diseases·Anne-Karoline EbertWolfgang H Rösch

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Citations

Apr 9, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Paolo CaioneMario Messina
Feb 7, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Michaela Dellenmark-BlomGundela Holmdahl
Jul 11, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Y Ben AhmedS Jlidi

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