PMID: 8607242Feb 1, 1996Paper

The multiple reoperative bladder exstrophy closure: what affects the potential of the bladder?

Urology
J P GearhartR D Jeffs

Abstract

To define the possible cause of failure and the eventual potential of the bladder in 23 exstrophy patients, who underwent more than two failed prior attempts at closure. Twenty-three patients were selected from the exstrophy data base who had two or more prior closures. Eighteen patients had undergone 2 previous closures and 5 patients 3 previous closures for either complete dehiscence or significant prolapse. At the time of initial closure, 19 patients did not have an osteotomy. At secondary closure, 10 underwent osteotomy while at third closure 5 had an osteotomy. At the time of reclosure at our institution all underwent an osteotomy. Reoperative repair at our institution was successful in all patients. Six patients achieved a bladder size suitable for bladder neck reconstruction and of them 3 are dry. The bladder size was inadequate in 9 patients and 8 are being monitored for possible bladder growth. Tension-free closure with osteotomy and immobilization are important factors both in an initial or any subsequent closure. The chance of obtaining an adequate bladder capacity for bladder neck plasty and eventual continence, following multiple reclosures, is markedly diminished.

References

Jul 1, 1991·The Journal of Urology·P D SponsellerR D Jeffs
Dec 1, 1989·American Journal of Diseases of Children·J P Gearhart, R D Jeffs
Dec 1, 1988·Journal of Pediatric Surgery·J P ConnorK A Burbige
Aug 1, 1995·The Journal of Urology·A M KajbafzadehP G Ransley
Feb 1, 1993·British Journal of Urology·J P GearhartR D Jeffs

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Citations

Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·S J Crankson, S Ahmed
Oct 25, 2008·Journal of Pediatric Urology·A D BairdJ P Gearhart
Oct 25, 2008·Journal of Pediatric Urology·Kirstan K MeldrumJohn P Gearhart
Feb 26, 1999·The Journal of Urology·R I SilverJ P Gearhart
Dec 1, 1996·Urology·R Hohenfellner, R Stein
Aug 8, 2002·International Journal of Urology : Official Journal of the Japanese Urological Association·Phichaya Sujijantararat, Areesak Chotivichit
Jan 12, 1999·British Journal of Urology·G Nicholls, P G Duffy
Nov 3, 2009·Orphanet Journal of Rare Diseases·Anne-Karoline EbertWolfgang H Rösch
Nov 7, 2014·Surgery Research and Practice·Brian M InouyeJohn P Gearhart
Sep 24, 2013·Journal of Pediatric Urology·Eric Z MassanyiJohn P Gearhart
May 21, 2013·Current Urology Reports·Brian M InouyeJohn P Gearhart
Jun 15, 2007·Current Opinion in Urology·Patricio C Gargollo, Joseph G Borer
Feb 14, 2012·Journal of Pediatric Surgery·Salvatore ArenaRaimondo M Cervellione
Aug 23, 2011·The Journal of Urology·Nima BaradaranJohn P Gearhart
Apr 2, 2011·Seminars in Pediatric Surgery·David Chalmers, Fernando Ferrer
Jul 20, 2010·Journal of Pediatric Urology·Angela M ArlenJ Christopher Austin
Jul 6, 2010·Urology·Ranjiv Mathews
Nov 13, 2009·Journal of Pediatric Urology·Thomas E NovakJohn P Gearhart
Aug 21, 2009·The Journal of Urology·Todd PurvesJohn P Gearhart
May 19, 2009·Journal of Pediatric Urology·A I ShoukryM Daw
Nov 18, 2008·The Journal of Urology·Thomas E NovakJohn P Gearhart
Aug 22, 2008·The Journal of Urology·Anthony J SchaefferJohn P Gearhart
Nov 18, 2008·Journal of Pediatric Urology·David J HernandezJohn P Gearhart
Jul 23, 2008·Journal of Pediatric Urology·Sabine Kost-ByerlyJohn P Gearhart
Nov 17, 2007·The Journal of Urology·Raimondo M CervellioneAlan P Dickson
Aug 21, 2007·The Journal of Urology·John P GearhartCaleb P Nelson
Dec 15, 2015·Journal of Pediatric Urology·Yuval Bar-YosefJacob Ben-Chaim
Apr 29, 2015·Urology·Brian M InouyeJohn P Gearhart
Jun 4, 2014·Journal of Pediatric Surgery·Bhavik B ShahJohn P Gearhart
Apr 2, 2011·Seminars in Pediatric Surgery·Thomas E Novak
Jun 17, 1998·The Journal of Urology·J P Gearhart
Nov 25, 2003·The Journal of Urology·Dominic FrimbergerRanjiv Mathews
Oct 18, 2018·Journal of Wound Care·Shabnam SabetkishAbdol-Mohammad Kajbafzadeh
Feb 11, 2000·Current Opinion in Urology·J P Gearhart
Dec 12, 2019·Tissue Engineering and Regenerative Medicine·F WindeTh Meyer

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