The Fate of the Complete Female Epispadias and Exstrophy Bladder—Is There a Difference?

• DOI: 10.1016/j.juro.2013.01.093
• Publication Date: 2013-02-01T05:33:16Z
• Authors: Kristina D. Suson; Janae Preece; Nima Baradaran; Heather N. Di Carlo; John P. Gearhart
• Keywords: Epispadias; Nephrology

No AccessJournal of UrologyExstrophy/Epispadias1 Oct 2013The Fate the Complete Female Epispadias and Exstrophy Bladder—Is There a Difference? Kristina D. Suson, Janae Preece, Nima Baradaran, Heather N. Di Carlo, John P. Gearhart SusonKristina Suson Division Pediatric Urology, The Johns Hopkins Hospital, Baltimore, Maryland Urology Department, Children's Hospital Michigan, Detroit, Michigan More articles by this author , PreeceJanae Preece University Medical Center, BaradaranNima Baradaran CarloHeather Carlo GearhartJohn View All Author Informationhttps://doi.org/10.1016/j.juro.2013.01.093AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: female epispadias, which occurs much more rarely than classic bladder exstrophy in females, is thought have benign clinical course. We hypothesized that patients with complete epispadias are likely larger capacity achieve voiding continence females exstrophy. Materials Methods: After obtaining institutional review board approval, or were identified from an institutionally approved prospective database. retrospectively reviewed charts 22 23 exstrophy, including 3 delayed primary closure. Results: Patients presented later underwent first reconstructive procedure at older age had lower initial final adjusted those but growth rate did not differ between groups. When stratified reconstruction, there was no difference rate. also statistical groups number surgeries, neck reconstruction success need for continent stoma. Conclusions: This study suggests who undergo successful closure higher similar may reflect creation outlet resistance younger epispadias. However, initially repair before vs after 1 year. procedures References : Exstrophy-epispadias complex. In: Campbell-Walsh 10th ed. Edited . Philadelphia: Saunders2012: 3325. chapt 124. Google Scholar 2 Diagnosis management Semin Pediatr Surg2011; 20: 85. managed plication via perineal approach. J Urol2012; 8: 244. 4 Biometry pubovisceral muscle levator hiatus assessed three-dimensional ultrasound exstrophy-epispadias complex functional reconstruction. Ultrasound Obstet Gynecol2009; 34: 98. 5 modern staged female: contemporary series. Urol2008; 4: 150. 6 Pelvic floor exstrophic patients: different results males?. Eur Urol2007; 52: 1777. 7 Long-term followup time event outcome analysis catheterizable channels. Urol2011; 185: 2298. Link, 8 Single-stage subsymphyseal cystoscopic-guided urethrogenitoplasty epispadias: presentation long-term follow-up. BJU Int2011; 108: 1200. 9 management: urethrocervicoplasty versus classical Young-Dees procedure. Urol2009; 182: 1807. 10 urethroplasty preliminary report. Urology2008; 72: 300. 11 Re: procedure: A. Cheikhelard, Y. Aigrain, H. Lottmann S. Lortat-Jacob.: Urol, suppl, 2009; 1807–1812. Urol2010; 183: 2102. 12 Quality life adult women born cloacal exstrophy: follow up. Urol2006; 2: 16. 13 Aesthetic aspects clitoroplasty Plast Reconstr Aesthet Surg2010; 63: 2141. 14 Failed closure: outcome. 6: 381. © 2013 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 190Issue 4SOctober 2013Page: 1583-1589 Advertisement Copyright & Permissions© Inc.Keywordsreconstructive surgical proceduresfemaleurinary bladderbladder exstrophyepispadiasMetricsAuthor Information Expand PDF downloadLoading ...