[Bladder exstrophy. Treatment results over 27 years].
Between 1960 and 1988 47 patients with bladder exstrophy were attended. 7 various operative procedures were applied. 3 patients died postoperatively, 37 of the 42 patients would be examined after 1 11/12 to 27 years. All patients with ureterosigmoidostomy exhibited electrolyte disturbance and metabolic acidosis. Patients with sigmoid conduit, rectal bladder and bladder reconstruction had unremarkable findings. The uretero-enterostomy anastomotic region was endoscopically essentially unremarkable. The control of continence was from satisfactory to good, and there was not absolute incontinence. X-ray investigation revealed both distinct and indistinct changes. The psychic and social stress was more serious in childhood than in adulthood.
Gdanietz
K
K
Kinderchirurgische Klinik, Klinikum Berlin-Buch.
Kriewald
C
C
Kriewald
M
M
D001746:Bladder Exstrophy / Q000401:mortality / Q000601:surgery*; D004573:Electrolytes / Q000097:blood; D004724:Endoscopy; D004766:Enterostomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014547:Urinary Diversion / Q000379:methods*; D014567:Urography
D004573:Electrolytes
Die Blasenekstrophie. Behandlungsergebnisse von 27 Jahren.