Current management of bladder exstrophy: a BAPS collective review from eight centres of 81 patients born between 1975 and 1985.
The British Association of Paediatric Surgeons (BAPS) agreed to collect information on bladder exstrophy from its members. Data were obtained on 81 patients from eight centres. Twenty-one patients had other congenital abnormalities. Three died within the first year of life, and one was lost to follow-up in the early neonatal period--leaving 77 for further analysis. Forty patients had bladder closure without permanent urinary diversion. Ten were able to stay dry for two hours or longer, and 16 were constantly wet. Of the remaining 14, some were too young to assess, while others were dry for from 30 minutes to two hours. Thirty-seven had undergone diversions; fourteen had ureterosigmoidostomy, nine underwent ileal loop conduit, nine had colon loop conduit, and five had cutaneous ureterostomy. Seventeen of these diversions had been carried out before the patients were 2 years of age.
de la Hunt
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MN
Childrens Research Centre, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
O'Donnell
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B
D000293:Adolescent; D000367:Age Factors; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D015337:Multicenter Studies as Topic; D012189:Retrospective Studies; D014547:Urinary Diversion / Q000379:methods; D014549:Urinary Incontinence / Q000601:surgery