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At least 451 records · Page 25Linked to original sources
PubMed1987

Bladder exstrophy complicated by adenocarcinoma.

A case of untreated exstrophy in a 72-year-old patient complicated by malignant degeneration is reported. Morphological, histochemical and immunohistochemical examination revealed an adenocarcinoma resembling a colorectal carcinoma.

Adenocarcinoma↗
PubMed1995

Urinary diversion in bladder exstrophy and incontinent epispadias: 25 years of experience.

PURPOSE: To determine the optimal surgical approach in achieving complete urinary continence with preservation of the upper urinary tract in the exstrophy-epispadias complex we reviewed the records of patients treated at our institution. MATERIALS AND METHODS: From 1968 to July 1994, 115 patients with bladder exstrophy/incontinent epispadias were treated of whom followup was available for 104 and 2 died of causes unrelated to urinary diversion. Mean followup is 16.7 years. In 43 of the 102 patients surgery was primarily performed at our institution (urinary diversion in 39, a modified Young-Dees procedure in 1 and sling plasty in 3). In another 59 patients urinary diversion was done secondarily after therapy elsewhere (bladder closure/bladder neck reconstruction in 34 and failed urinary diversion with incontinence in 22). Urinary diversion was performed in 49 patients, a Young-Dees procedure in 7 and genital reconstruction alone in 3. RESULTS: The present continence rates are 96% for the rectal reservoir, 97% for the Mainz pouch I and 67% for the modified Young-Dees augmentation. Upper tracts have remained stable and no bowel neoplasms have developed. CONCLUSIONS: Rectal reservoirs represent our urinary diversion of choice. After failed reconstruction/insufficient anal sphincter a Mainz pouch I is constructed and when the upper tract has deteriorated a colon conduit is created.

Bladder Exstrophy↗
PubMed2005

[Didelphic uterus coexisting with bladder exstrophy].

Congenital anomalies of structures originating from Mullerian ducts are important gynecological problem. They often coexist with malformations of urinary tract. In this report we describe the case of 31 year old women with didelphus and bladder extrophy. The surgical treatment consisted on transabdominal total hysterectomy due to endometriosis IV (rAFS) narrowing ureteroenterostomy.

Abnormalities, Multiple↗
PubMed1988

[Bladder exstrophy--anterior osteotomy of the pelvis--a new surgical technic for facilitating stabilization of the pelvis and abdominal closure].

The reconstruction of a stable anterior pelvic ring and the tension-free soft tissue closure is the key to a successful reconstructive surgery of the ectopic bladder. Instead of the commonly practised iliac osteotomy to achieve this goal we postulate the bilateral anterior osteotomy of the superior ramus of the pubic bone. The operative technique of this new method is described. The early results of four cases are discussed.

Abdominal Muscles↗
PubMedDate not supplied

[The treatment of bladder exstrophy].

The results of treatment of 41 children with vesical exstrophy were analysed. Four types of surgeries were performed: 1) transplantation of Lieutaud's triangle into the sigmoid (n = 19); 2) its transplantation into the semi-isolated part of the sigmoid (n = 7); 3) ureteral transplantation into the sigmoid (n = 3); 4) the formation of the urinary bladder and ureter from the adjacent tissues (n = 12). In the first group 2 children died, 6 patients had no clinical signs of chronic renal or ureteral inflammation for the period of 5-17 years, the remaining 11 patients had pyelonephritis. In the second group 5 children were apparently healthy for 1-3 years after the operation, one child developed pyelonephritis, one child died from pneumonia. In the third group 2 patients were apparently healthy 1.5-2 years after the surgery, 1 child developed pyelonephritis. A great number of complications such as sutural incompetence followed by fistulization or enuresis made the authors avoid the fourth type. Thus, while forming an urointestinal anastomosis, preference is given to transplantation of Lieutaud's triangle or ureters proper into the semi-isolated segment according to the antireflux methods, if there are strictures in their distal portions.

Anastomosis, Surgical↗
PubMed1993

Secondary reconstruction of abdominal wall defects associated with exstrophy of the bladder.

Exstrophy of the bladder is a spectrum of congenital anomalies that involve the structures of the lower abdominal wall. The classic bladder exstrophy results in a severe deformity. The purpose of the original surgery is to obtain a secure abdominal wall closure with urinary continence. In present times the abdominal wall is repaired shortly after birth. The occasional patient has residual anatomical deformities that impede their social development and interaction. Secondary reconstructive surgery can be helpful, and this patient report illustrates this.

Abdominal Muscles↗