Modified staged repair of bladder exstrophy: a strategy to prevent penile ischemia while maintaining advantage of the complete primary repair of bladder exstrophy

Penile ischemic injury is a reported catastrophic complication after complete primary repair of exstrophy (CPRE). Aiming to improve the bladder exstrophy-epispadias repair outcomes, our institution adopted a modified staged exstrophy repair to incorporate the advantages of CPRE by avoiding concurrent epispadias repair and adding bilateral ureteral reimplantation and bladder neck tailoring (SRBE-BUR) at the initial repair. We hypothesized that such modifications minimize penile complications, prevent upper tract deterioration while enhancing bladder resistance and consequent capacity.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Source Type: research