Continent urinary diversion in the epispadias-exstrophy complex.

Abstract

Despite improvements in modern surgical reconstructive techniques, many patients with epispadias-exstrophy continue to experience urinary incontinence. Continent diversion is commonly performed to achieve urinary continence and improve quality of life. In this work we describe the population that can be considered for continent urinary diversion, consider the benefits and implications of concurrent augmentation and bladder neck closure, and review recent literature regarding continence outcomes and common complications. Even in this complex patient population, urinary continence can be reliably achieved by bladder augmentation and the use of intermittent catheterization via a catheterizable cutaneous stoma with or without closure of the bladder neck.

• Authors: David Chalmers, Fernando Ferrer
• Journal: Seminars in pediatric surgery (Semin Pediatr Surg) Vol. 20 Issue 2 Pg. 102-8 (May 2011) ISSN: 1532-9453 [Electronic] United States
• PMID: 21453854 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Bladder Exstrophy (complications, psychology, surgery)
• Epispadias (complications, surgery)
• Female
• Humans
• Intermittent Urethral Catheterization
• Male
• Postoperative Complications
• Quality of Life
• Reoperation (methods)
• Treatment Failure
• Urinary Bladder (surgery)
• Urinary Diversion (methods)
• Urinary Incontinence (etiology, surgery)