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10 years of functional reconstructive surgery in exstrophy of the urinary bladder--a preliminary report


, : 10 years of functional reconstructive surgery in exstrophy of the urinary bladder--a preliminary report. Zeitschrift für Kinderchirurgie 35(2): 69-72

Functional reconstructive surgery is performed in bladder exstrophy at the University Children's Hospital of Zurich since 1971. The surgical procedure is usually done in three stages--bilateral iliac osteotomy--turn-in-operation wih preliminary reconstruction of the bladder neck and antireflux surgery--closure of the epispadia, if necessary combined with continence plasty. Out of 26 patients with bladder exstrophy 23 underwent reconstruction. 3 patients died postoperatively. One was lost for follow-up. The preliminary long-term results in 19 patients are presented. The assessment was based on four criteria: last intravenous pyelography, urinary function, frequency and severity of urinary infections and degree of attained continence. The results were classified as good in 5 patients, fair in another 5 patients and insufficient in 6. 3 patients were too young to be assessed. The results are compared with other series reported in literature.

US$19.90

PMID: 7072392

DOI: 10.1055/s-2008-1059905


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