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PubMed · 1207319

[Round-table discussion on plastic and reconstructive surgery servicing function. Sexual function, urninary and fecal incontinence].

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Bladder ExstrophyEpispadiasFecal IncontinenceFemaleHumansMaleUrinary IncontinenceJournal Article

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1975. [Round-table discussion on plastic and reconstructive surgery servicing function. Sexual function, urninary and fecal incontinence].. https://pubmed.ncbi.nlm.nih.gov/1207319/

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PubMed1992

Lower urinary tract function after exstrophy closure.

Twenty-eight children with bladder exstrophy, prior to surgery for continence, underwent a urodynamic evaluation, cystogram, ultrasound and dimercaptosuccinic acid scan, to define parameters of lower urinary tract function that are a risk for upper tract damage and/or impair development of bladder capacity. The bladders in 7 of 28 demonstrated no storage function [leak pressure)LP) = 0]; but storage parameters could be measured in the other 21. Their LP was 10-35 cm H2O; 17 of 21 revealed involuntary contractions and 7 of 21 had an end-fill pressure greater than 10 cm H2O. Bladder capacity was better in those with a higher LP and those with no involuntary contractions. The 4 patients with bilateral hydronephrosis (3 of whom also had bilateral multiple scars) were among the 6 with LP greater than 30 cm H2O. Of the 7 with an end-fill pressure greater than 10 cm H2O, 5 had upper tract damage. Involuntary contractions may impair development of capacity. A LP of greater than 30 cm H2O is a risk factor for upper tract damage and an end-fill pressure greater than 10 cm H2O may also be a factor.

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PubMed1992

Exstrophy of the bladder: primary closure after iliac osteotomies without external or internal fixation.

A total of 6 consecutive infants with exstrophy of the bladder underwent iliac osteotomy in association with primary closure of the bladder without internal or external fixation of the bony pelvis. Hospitalization time was short and there were no resulting problems with healing, bony deformities or subsequent ambulation. Fixation of the bony pelvis after iliac osteotomy does not appear to be necessary in nonambulatory patients undergoing primary closure for bladder exstrophy.

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