title: Vesical neck reconstruction in patients with epispadias-exstrophy complex.
abstract: The achievement of satisfactory continence in the management of patients with the epispadias-exstrophy complex remains a challenge. Between 1971 and 1989, 22 children underwent vesical neck reconstruction at our hospital. Satisfactory continence was achieved in 17 of the 22 patients (77%), including 8 (36%) who are continent after a single vesical neck reconstruction and 9 of 13 who achieved continence after additional and/or adjunctive procedures. Additions and/or adjunctive procedures included revision of the vesical neck reconstruction, bladder augmentation and/or placement of an artificial urinary sphincter. We conclude that vesical neck reconstruction with or without additional and/or adjunctive procedures can result in an acceptable continence rate in patients with the epispadias-exstrophy complex.
authors.affiliation: Department of Pediatric Urology, Children's Hospital of Michigan, Detroit.
authors.forename: A D
authors.initials: AD
authors.lastname: Perlmutter
authors.forename: M D
authors.initials: MD
authors.lastname: Weinstein
authors.forename: C
authors.initials: C
authors.lastname: Reitelman
mesh_terms: D000293:Adolescent; D000328:Adult; D001746:Bladder Exstrophy / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004842:Epispadias / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery