title: Modern management of bladder exstrophy repair.
abstract: The exstrophy-epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall musculature, and pelvic bones. Historically, surgical outcomes in patients with classic bladder exstrophy, the most common presentation of the exstrophy-epispadias complex, were poor. However, modern techniques have increased the success of achieving urinary continence, satisfactory cosmesis, and improved quality of life. Still, recent studies recognize complications that may occur during management of these patients. This review provides readers with an overview of the exstrophy-epispadias complex, the modern management of bladder exstrophy, and potential surgical complications.
authors.affiliation: James Buchanan Brady Urological Institute, Division of Pediatric Urology, Charlotte Bloomberg Children's Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans St. Suite 7304, Baltimore, MD 21287, USA.
authors.forename: Brian M
authors.initials: BM
authors.lastname: Inouye
authors.forename: Eric Z
authors.initials: EZ
authors.lastname: Massanyi
authors.forename: Heather
authors.initials: H
authors.lastname: Di Carlo
authors.forename: Bhavik B
authors.initials: BB
authors.lastname: Shah
authors.forename: John P
authors.initials: JP
authors.lastname: Gearhart
mesh_terms: D001746:Bladder Exstrophy / Q000150:complications / Q000601:surgery*; D004842:Epispadias / Q000150:complications / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures