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A REALISTIC LOOK AT EXSTROPHY OF THE BLADDER
Author(s) -
EZELL WILLIAM W.,
CARLSON HJALMAR E.
Publication year - 1970
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1970.tb10022.x
Subject(s) - bladder exstrophy , ureterosigmoidostomy , medicine , surgery , epispadias , sling (weapon) , osteotomy , sexual function , cloacal exstrophy , bladder cancer , cystectomy , cancer
SUMMARY1 Twenty‐eight cases of exstrophy of the bladder over a 32‐year period were divided into groups, 7 cases from 1936 to 1951 and 21 cases subsequent to 1951. 2 Analysis revealed that ureterosigmoidostomy using the technique described is a very satisfactory procedure. 3 Primary closure is facilitated by iliac osteotomy but incontinence and reflux remain a problem. A pelvic sling was found superior to a plaster cast following osteotomy. 4 Reconstruction of the genitalia is a necessary procedure regardless of the primary surgery. A pull‐through epispadias repair in the male is described which preserves fertility and sexual function. 5 The ileal conduit was utilised as a back‐up procedure.