Psychosocial screening at paediatric BEEC clinics: a pilot evaluation study.

Introduction: Bladder Exstrophy and Epispadias Complex (BEEC) is associated with an increased risk of impaired mental health, quality of life, and psychosocial functioning. Therefore, screening patients to help identify and evaluate potential psychosocial difficulty is arguably an important consideration for BEEC Services.

Objective: To screen paediatric BEEC patients for a range of general psychosocial difficulties in a multi-disciplinary out-patient clinic setting.

Delayed exstrophy repair (DER) does not compromise initial bladder development.

Objective: Delayed exstrophy repair (DER) represents an alternative to early neonatal bladder closure. This study aims to define the consequence of DER on bladder growth in bladder exstrophy patients who underwent routine DER, compared with those who underwent immediate postnatal reconstruction.

Methods: Between 2000 and 2005, classic bladder exstrophy patients referred to the authors' institution underwent early neonatal bladder closure (group 1).

Antenatal diagnosis of bladder/cloacal exstrophy: challenges and possible solutions.

Objective: To identify the pitfalls in accurate antenatal diagnosis of bladder exstrophy (BE) and cloacal exstrophy (CE), and thus understand the challenges for antenatal counselling.

Methods: A prospectively maintained bladder exstrophy database of antenatal and live born referrals for BE/CE was used to identify patients. Data were collected about the antenatal scan findings and the outcome of pregnancy.

Salvage procedures to achieve continence after failed bladder exstrophy repair.

Purpose: We assessed the results from a single exstrophy center of salvage continence surgery after failed staged reconstruction for bladder exstrophy.

Materials And Methods: A total of 32 patients with bladder exstrophy had undergone salvage continence procedures. Indications for surgery included incontinence due to poor bladder capacity or failed bladder neck repair, and upper tract deterioration.

Home dressing removal following hypospadias repair.

Hypospadias is a common congenital abnormality that is increasing in incidence. There are many articles describing different surgical techniques and the merits of different dressings following hypospadias surgery. This article describes postoperative nursing management in collaboration with each family following surgery.

Intermittent catheterisation in school: a collaborative agreement.

Enabling children with medical needs to attend mainstream education can be a challenge for parents, teachers and health-care professionals. A lack of national standards on the management of continence in schools results in enormous variations in practice. This paper describes a collaborative approach to address the issues in schools in Manchester.