Journal ArticleDOI
One-stage combined delayed bladder closure with Kelly radical soft-tissue mobilization in bladder exstrophy: preliminary results.
Marc-David Leclair,Sébastien Faraj,S. Sultan,Georges Audry,Yves Heloury,J.H. Kelly,P.G. Ransley +6 more
TLDR
The Kelly RSTM can be safely combined with delayed bladder closure without osteotomy in both primary and redo cases in classic bladder exstrophy.About:
This article is published in Journal of Pediatric Urology.The article was published on 2018-07-26. It has received 20 citations till now. The article focuses on the topics: Bladder exstrophy & Neck of urinary bladder.read more
Citations
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Journal ArticleDOI
Recent Trends in the Management of Bladder Exstrophy: The Gordian Knot Has Not Yet Been Cut.
Martin Promm,Wolfgang H. Roesch +1 more
TL;DR: It is universally agreed that successful and gentle initial bladder closure is decisive for favorable long-term outcome with regard to bladder capacity, renal function and continence and clinical research should focus on multi-institutional collaborative trials to determine the optimal approach.
Journal ArticleDOI
Challenges in pediatric urologic practice: a lifelong view.
John S. Wiener,Nina Huck,Anne Sophie Blais,Mandy Rickard,Armando J. Lorenzo,Heather N. Di Carlo,Margaret G. Mueller,Raimund Stein +7 more
TL;DR: The role of the pediatric urologic surgeon does not end with initial reconstructive surgery; many of the congenital anomalies encountered require multiple staged operations while others may not involve further surgery but require a life-long follow-up and often revisions.
Journal ArticleDOI
A less invasive technique for delayed bladder exstrophy closure without fascia closure and immobilisation: can the need for prolonged anaesthesia be avoided?
TL;DR: The proposed less invasive technique with relieved postoperative program is the way to obtain successful bladder exstrophy closure as well as to reduce some risks for the patients.
Journal ArticleDOI
Justin H. Kelly and his procedure for bladder exstrophy and epispadias
TL;DR: The Kelly procedure as discussed by the authors has been used for the repair of complete bladder exstrophy (CBE) and epispadias for more than 100 years and has been successfully applied to anorectal anomalies.
References
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Journal ArticleDOI
The Exstrophy-epispadias complex
TL;DR: Management is primarily surgical, with the main aims of obtaining secure abdominal wall closure, achieving urinary continence with preservation of renal function, and, finally, adequate cosmetic and functional genital reconstruction.
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Complete Penile Disassembly for Epispadias Repair: The Mitchell Technique
TL;DR: A new technique for epispadias repair, which relies on the unique blood supply of the corpus cavernosum and glans, which makes glans and urethral repair independent; separates the 2 corporeal glandular bodies, permitting easier and more complete release of the rotation contributing to dorsal chordee, and improves exposure for corporotomy or dermal grafts.
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Long-Term Followup of Complete Primary Repair of Exstrophy: The Seattle Experience
TL;DR: Urinary continence has been consistently achieved with this form of exstrophy repair and primary continence without the need for further reconstruction is possible.
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Modern staged repair of bladder exstrophy: a contemporary series.
TL;DR: Patients with a good bladder template who develop sufficient bladder capacity after successful primary closure and epispadias repair can achieve acceptable continence without bladder augmentation and intermittent catheterization.
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Vesical exstrophy: repair using radical mobilisation of soft tissues
TL;DR: By more radical mobilisation of both internal and external sphincter muscles of the bladder and urethra than has hitherto been undertaken, physiological continence of urine has been achieved in patients with vesicourethral exstrophy.