Long-term followup of complete primary repair of exstrophy: the Seattle experience

The Journal of Urology
Margarett ShnorhavorianMichael E Mitchell

Abstract

Since 1989, we have used the complete primary repair of exstrophy surgical technique to reconstruct the genitourinary system of children born with the exstrophy-epispadias complex based on the assumption that this complex represents a malformation. We initially reported using this technique in 1999. We now report a longer term followup of this initial group as well as surgical outcomes in a larger group of children who have undergone this repair for classic bladder exstrophy. Since 1989, we have prospectively followed 39 children who underwent the complete primary repair of exstrophy technique to construct classic bladder exstrophy. Median followup in the original group of patients that we reported in 1999 is 106 months. Median followup in the entire series is 58 months. Of boys and girls 4 years or older 74% have achieved daytime continence with volitional voiding. Of boys and girls 20% and 43%, respectively, have achieved primary urinary continence without the need for bladder neck reconstruction. An additional 18% of boys and girls achieved continence with only bladder neck injection following complete primary repair of exstrophy. Complications developed in 7 of the 39 children (18%) in the entire series. Urinary continence ...Continue Reading

References

Apr 1, 1972·British Journal of Urology·M K Hanna, D I Williams
Jan 1, 1996·The Journal of Urology·M E Mitchell, D J Bägli
May 1, 1993·British Journal of Urology·J A JonesR C Rink
Apr 1, 1996·British Journal of Urology·C R Woodhouse, N G Redgrave
Mar 23, 1999·The Urologic Clinics of North America·R W GradyM E Mitchell
Aug 24, 1999·The Journal of Urology·S V PerovicN G Djakovic
Sep 24, 1999·The Journal of Urology·R W Grady, M E Mitchell
Feb 11, 2000·Current Opinion in Urology·J P Gearhart
Aug 25, 2000·The Journal of Urology·B P Kropp, E Y Cheng
Aug 25, 2000·The Journal of Urology·E B YerkesJ W Brock
Nov 4, 2000·The Journal of Urology·P CaioneE Matarazzo
Apr 17, 2002·The Journal of Urology·L EmírD Erol
Oct 9, 2003·The Journal of Urology·Hisham M Hammouda
Sep 17, 2004·The Journal of Urology·Hisham M Hammouda, Hassan Kotb
Feb 16, 2005·The Journal of Urology·Ashraf T Hafez, Mohamed T El-Sherbiny
Sep 9, 2005·The Journal of Urology·Joseph G BorerAlan B Retik

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Citations

Jul 9, 2013·Current Urology Reports·Sumit Dave, Joao Luiz Pippi Salle
Mar 2, 2013·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Jai K Mahajan, Kattragadda L N Rao
Nov 7, 2014·Surgery Research and Practice·Brian M InouyeJohn P Gearhart
Jan 25, 2014·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Santosh B KurbetShivaji Mane
May 21, 2013·Current Urology Reports·Brian M InouyeJohn P Gearhart
Oct 27, 2010·Pediatric Surgery International·Antonio ZaccaraPietro Bagolan
Jul 26, 2011·The Journal of Urology·Anthony J SchaefferJohn P Gearhart
May 13, 2011·The Journal of Urology·Patricio GargolloJoseph G Borer
Apr 2, 2011·Seminars in Pediatric Surgery·Dominic Frimberger
Apr 2, 2011·Seminars in Pediatric Surgery·J Todd Purves
Apr 2, 2011·Seminars in Pediatric Surgery·Joseph G Borer
Dec 27, 2015·Journal of Pediatric Surgery·Christopher A HeshJohn P Gearhart
Aug 21, 2009·The Journal of Urology·Todd PurvesJohn P Gearhart
Mar 31, 2009·Journal of Pediatric Urology·Yusuf KibarBradley P Kropp
Mar 1, 2012·Journal of Pediatric Urology·Anthony J SchaefferRanjiv I Mathews
Dec 19, 2012·Journal of Pediatric Urology·Eric Z MassanyiJohn P Gearhart
Jul 3, 2013·The Journal of Urology·M Chad WallisPatrick C Cartwright
Dec 5, 2013·The Journal of Urology·Anthony J SchaefferCaleb P Nelson
Jun 7, 2016·Journal of Pediatric Urology·Jonathan S EllisonRichard Grady
Nov 22, 2011·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Amilcar Martins GironMiguel Srougi
Oct 18, 2018·Journal of Wound Care·Shabnam SabetkishAbdol-Mohammad Kajbafzadeh
Apr 20, 2010·The Journal of Urology·Luis H P BragaJoao L Pippi Salle
Apr 17, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Ahmed Zaki Mohamed AnwarAlaa Mohammed Shaaban
Jun 20, 2015·Journal of Pediatric Orthopedics·Andrew MundyKevin E Klingele
Apr 21, 2016·Current Opinion in Urology·Alonso Carrasco, Vijaya M Vemulakonda
Jan 27, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Amilcar Martins GironMiguel Srougi
Feb 7, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Michaela Dellenmark-BlomGundela Holmdahl
Jun 11, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Ahmed Zaki Mohamed AnwarAlaa Mohammed Shaaban
Aug 16, 2021·Journal of Pediatric Urology·Katie L CanalichioMargarett Shnorhavorian

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