Anatomy of Classic Bladder Exstrophy: MRI Findings and Surgical Correlation.


Journal

Current urology reports
ISSN: 1534-6285
Titre abrégé: Curr Urol Rep
Pays: United States
ID NLM: 100900943

Informations de publication

Date de publication:
08 Jul 2019
Historique:
entrez: 10 7 2019
pubmed: 10 7 2019
medline: 26 11 2019
Statut: epublish

Résumé

The exstrophy-epispadias complex (EEC) represents a group of congenitally acquired malformations involving the musculoskeletal, gastrointestinal, and genitourinary systems. Classic bladder exstrophy (CBE) is the most common and best studied entity within the EEC. In this review, imaging features of CBE anatomy will be presented with surgical correlation. Magnetic resonance imaging (MRI) has emerged as a useful modality for pre- and postnatal assessment of the abdominal wall, pelvic floor, and gastrointestinal and genitourinary systems of children with CBE. The authors' experience supports use of preoperative MRI, in conjunction with navigational software, as a method for identifying complex CBE anatomy. Imaging facilitates surgical approach and improves visualization of complex anatomy, potentially helping to avoid complications. Continued investigation of imaging guidance in CBE repair is needed as surgical techniques improve.

Identifiants

pubmed: 31286274
doi: 10.1007/s11934-019-0916-2
pii: 10.1007/s11934-019-0916-2
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

48

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Auteurs

Emily A Dunn (EA)

Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA. edunn18@jhmi.edu.

Matthew Kasprenski (M)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

James Facciola (J)

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Karl Benz (K)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

Mahir Maruf (M)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

Mohammad H Zaman (MH)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

John Gearhart (J)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

Heather Di Carlo (H)

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Charlotte Bloomberg Children's Hospital, Johns Hopkins Hospital, Baltimore, MD, USA.

Aylin Tekes (A)

Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

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Classifications MeSH