title: Bladder-neck repair in urinary bladder exstrophy.
abstract: A simple modification of an existing technique for bladder-neck reconstruction in exstrophy of the urinary bladder is reported. The technique involves tubularization of the posterior urethra up to just below the ureteric orifices. It differs from other techniques in that no part of the bladder tissue is used for buttressing the repair, but all is utilized for enhancing the bladder volume. Only 2 of 20 patients remained incontinent after bladder-neck reconstruction; the remaining 18 have achieved socially acceptable continence.
authors.affiliation: Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi-110029, India.
authors.forename: V
authors.initials: V
authors.lastname: Bhatnagar
authors.forename: R
authors.initials: R
authors.lastname: Lal
authors.forename: S
authors.initials: S
authors.lastname: Agarwala
authors.forename: D K
authors.initials: DK
authors.lastname: Mitra
mesh_terms: D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000517:prevention & control