The outcome and complications of modern staged repair surgery in newborns with classic bladder exstrophy in different genders: A retrospective study.
bladder exstrophy
complications
modern staged repair of exstrophy
urinary incontinence
urinary tract infections
Journal
Birth defects research
ISSN: 2472-1727
Titre abrégé: Birth Defects Res
Pays: United States
ID NLM: 101701004
Informations de publication
Date de publication:
01 Oct 2023
01 Oct 2023
Historique:
revised:
20
05
2023
received:
11
04
2023
accepted:
16
07
2023
pubmed:
29
7
2023
medline:
29
7
2023
entrez:
29
7
2023
Statut:
ppublish
Résumé
Classic bladder exstrophy (CBE) is a rare anterior midline birth defect that remains a challenge for pediatric surgeons. Despite multiple reconstructive methods, outcomes vary widely in various reports. This study aims to compare the success rate and complications of modern staged repair of exstrophy (MSRE) in each gender and compare together. This retrospective cross-sectional study included cases of CBE between 2010 and 2020 that underwent MSRE. Short-term follow-up results, including incontinence rate, vesicoureteral reflux (VUR), urinary infections, deformed genitalia, and so on, were measured in each gender, and their differences were reported. Among the 40 newborns with CBE who underwent MSRE, 25 (62.5%) were boys, while the others had non-male genitalia. The rates of incontinence, VUR, dehiscence, and fistulas did not differ significantly between genders. However, chronic urinary tract infections (UTIs) were more frequent in girls, and boys were more likely to have malformed genitalia (p < .05). Our findings indicate a similar rate of complications in each gender. However, chronic UTIs and external genitalia deformities were significantly more common in girls and boys, respectively. Further large-sized controlled trials may be needed to corroborate these findings.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1469-1474Informations de copyright
© 2023 Wiley Periodicals LLC.
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