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: Michael E. Chua, Jessica M. Ming, Nicolas Fernandez, Abby Varghese, Walid A. Farhat, Darius J. Bagli, Armando J. Lorenzo, Joao L. Pippi Salle Source Type: research
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