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A Comprehensive Review of the Complete Primary Repair Technique for Bladder-Exstrophy-Epispadias Reconstruction: First Surgical Attempt Should Be the Best One.
Urol J
December 2024
Pediatric Urology and Regenerative Medicine Research Center, Gene, Cell and Tissue Research Institute, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Purpose: To evaluate the effectiveness of the Complete Primary Repair of Exstrophy (CPRE) technique for bladder exstrophy-epispadias complex (BEEC) reconstruction and its comparison with the Modern Staged Repair of Exstrophy (MSRE) technique.
Materials And Methods: A comprehensive literature review of CPRE and MSRE was conducted, focusing on factors such as continence rates, postoperative outcomes, and complications. Various studies on pelvic biometry, surgical approaches, and long-term evaluations of renal function and continence were analyzed.
Perineal Approach for Female Epispadias Repair and Providing Continence.
Balkan Med J
December 2024
Department of Pediatric Surgery, Trakya University Faculty of Medicine, Edirne, Turkey.
Subperiosteal Tunneled Allograft Reconstruction of the Symphyseal Ligaments (STARS) in Bladder Exstrophy Epispadias Complex.
J Pediatr Orthop
December 2024
Paediatric Urology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Article Synopsis
- - The study investigates the effectiveness of tendon allograft reconstruction in maintaining pubic stability after iliac osteotomies in patients undergoing bladder exstrophy repair, a condition needing surgical intervention due to pelvic organ issues.
- - Eleven patients, averaging 14 months old, underwent the procedure, followed by a period with external fixators, and their pelvic positions were monitored through scans and X-rays at various times, showing a successful urologic closure across the board.
- - Results indicated that in 9 of the 11 patients, the distance between their pubic bones either stabilized or decreased over an average follow-up of 11 months, suggesting that the reconstruction method is promising for managing pubic symphysis issues post-surgery.
Urethral duplication associated with epispadias: Case report.
Int J Surg Case Rep
November 2024
Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Introduction And Importance: Urethral duplication is a rare congenital urinary tract anomaly. Its association with male epispadias is extremely rare. Due to various anatomical types, patients with urethral duplication can have a wide range of clinical presentations.
View Article and Find Full Text PDFManagement of cloacal exstrophy: Experience from tertiary hospital, Tanzania. Case series.
Int J Surg Case Rep
November 2024
Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Introduction And Importance: Cloacal exstrophy (CE) is defined as a complex anomaly that affects the urogenital and intestinal tracts. It is the most serious form of anomaly that is described within the so-called exstrophy-epispadias complex. These malformations usually present a challenge in the management of particular conditions, as most of these forms require multiple surgeries, resulting in the use of multidisciplinary approaches, including reconstructive urologists, pediatric surgeons, orthopedic surgeons, endocrinologists, pediatricians, psychologists and nutritionists.
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