title: [An assessment of the functional results of various forms of surgery for epispadias and exstrophy (author's transl)].
abstract: Urinary continence can be achieved by total reconstruction in perhaps 20 percent of patients born with exstrophy of the bladder. Uretero-rectal anastomosis offers a reasonalbe alternative but carries a high morbidity. Cutaneous diversion is the safest form of long-term management, but this involves the life-long penalty of a stoma and the need for appliances. Conservative reconstructive surgery is advocated in the first instance, but repeated surgical procedures may be necessary for a successful result.
mesh_terms: D001746:Bladder Exstrophy / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004842:Epispadias / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014549:Urinary Incontinence / Q000209:etiology
vernacular_title: Funktionelle Ergebnisse nach operativer Rekonstruktion von Blasenexstrophie und Epispadie