[Plastic repair of the isolated bladder in exstrophy in children].
Sigmoid colon segment was used to pass the urine through the intestine in 14 children with exstrophy of the bladder. Preoperative management of large intestine helped to reduce the number of operative stages from two to one. 12 patients were followed up from 1 to 3 yrs. Right ureterohydronephrosis of the upper urinary tract was observed in 1 patient. Urodynamic investigation of isolated sigmoid colon segment evidenced of its adequate contractile and peristaltic activity preventing the contact of feces with entero-ureteral anastomoses. To improve the closing ability of rectal sphincter in the above patients anal electrostimulation with diadynamic current can be recommended.
Derzhavin
V M
VM
Kazachkov
S A
SA
Bannikov
V M
VM
Berulava
Z O
ZO
D000714:Anastomosis, Surgical / Q000379:methods; D001746:Bladder Exstrophy / Q000503:physiopathology / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D012007:Rectum / Q000601:surgery; D013536:Suture Techniques; D001743:Urinary Bladder / Q000503:physiopathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods; D014549:Urinary Incontinence / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics
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