Cystectomy in the Pediatric Exstrophy Population: Indications and Outcomes

Ko, Joan; Lue, Kathy; Friedlander, Daniel; Baumgartner, Timothy; Stuhldreher, Peter; DiCarlo, Heather; Gearhart, John P.

doi:10.1016/j.urology.2017.09.009

Cited by 8 publications

(2 citation statements)

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“…Voiding cystourethrogram to assess bladder capacity and vesicoureteric reflux. 4 Managing Epispadias is a great challenge, its management is mainly surgical involving bladder closure, urethral reconstruction and osteotomies if pubic diastasis is present, further surgery may be necessary to correct complications of initial surgeries or to achieve improved cosmesis or compete continence. 5…”

Section: Introductionmentioning

confidence: 99%

A case report on continent isolated male epispadias.

Ali

Hussain

Khalid

et al. 2020

TPMJ

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Epispadias is a rare congenital anomaly in which the urethral opening is on the dorsal surface of penis. Its incidence is 1 in 117000 newborn males and 1 in 484000 in newborn females. Its etiology is considered as because of failure of medial migration of mesenchyme between the ectodermal and endodermal layers of cloacal membrane due to premature rupture of cloacal membrane. Epispadias often presents as exstrophy epispadias complex, a wide spectrum of abnormalities that consist of classic bladder exstrophy, Epispadias and cloacal exstrophy. This case was not a part of exstrophy epispadias complex and it was an isolated continent epispadias which is extremely rare and it was managed with Cantwell Ransley epispadias repair technique.

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Section: Introductionmentioning

confidence: 99%

A case report on continent isolated male epispadias.

Ali

Hussain

Khalid

et al. 2020

TPMJ

View full text Add to dashboard Cite

show abstract

“…Ko et al . 2 reported 18 patients with classic bladder exstrophy, bladder exstrophy variants, and cloacal exstrophy who required cystectomy because their bladder templates were of insufficient size and the compliance and tissue quality did not improve after bladder closure. Six out of 18 patients underwent continent cutaneous diversion at the time of cystectomy and two more patients underwent delayed continent cutaneous diversion; all were continent on intermittent catheterization.…”

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confidence: 99%