Journal of Pediatric Urology
Volume 6, Issue 1 , Pages 6-10 , February 2010

Long-term follow-up of male patients after reconstruction of the bladder–exstrophy–epispadias complex: Psychosocial status, continence, renal and genital function

  • Anne K. Ebert

      Affiliations

    • Department of Paediatric Urology, University Medical Centre Regensburg, Steinmetzstr. 1-3, 93049 Regensburg, Germany
    • Corresponding Author InformationCorrespondence to: Anne K. Ebert, Department of Paediatric Urology, University Medical Centre Regensburg, Steinmetzstr. 1-3, 93049 Regensburg, Germany. Tel.: +49 941 3695451; fax: +49 941 3695455.
    • ,
  • Günter Schott

      Affiliations

    • Department of Urology and Paediatric Urology, University of Erlangen, Germany
    • ,
  • Monika Bals-Pratsch

      Affiliations

    • Centre for Gynaecological Endocrinology, Reproductive Medicine and Human Genetics, Regensburg, Germany
    • ,
  • Bernd Seifert

      Affiliations

    • Centre for Gynaecological Endocrinology, Reproductive Medicine and Human Genetics, Regensburg, Germany
    • ,
  • Wolfgang H. Rösch

      Affiliations

    • Department of Paediatric Urology, University Medical Centre Regensburg, Steinmetzstr. 1-3, 93049 Regensburg, Germany

Received 5 May 2009 ,Accepted 5 June 2009.

References 

  1. Gearhart JP. The bladder exstrophy-epispadias-cloacal exstrophy complex. In:  Gearhart JP,  Rink RC,  Mouriquand PDE editor. Pediatric urology. Philadelphia: Saunders; 2001;p. 511–546
  2. Woodhouse CRJ, North AC, Gearhart JP. Standing the test of time: long-term outcome of reconstruction of the exstrophy bladder. World J Urol. 2006;24:244–249
  3. Gargollo PC, Borer JB. Contemporary outcomes in bladder exstrophy. Curr Opin Urol. 2007;17:272–280
  4. Woodhouse CR, Redgrave NG. Late failure of the reconstructed exstrophy bladder. Br J Urol. 1996;77:590–592
  5. Schrott KM. Komplette einaktige Aufbauplastik der Blasenekstrophie. In:  Schreiter F editors. Plastisch-rekonstruktive Chirurgie in der Urologie. Stuttgart: Thieme; 1999;p. 430–439
  6. Ebert A, Scheuering S, Schott G, Rösch WH. Psychosocial and psychosexual development in childhood and adolescence within the exstrophy–epispadias complex. J Urol. 2005;174:1094–1098
  7. Woodhouse CRJ. Prospects for fertility in patients born with genitourinary anomalies. J Urol. 2001;165:2354–2360
  8. Woodhouse CRJ. Sexual function in boys born with exstrophy, myelomeningocele and micropenis. Urology. 1998;52:3–11
  9. Rösch WH, Schott G, Scheuering S, Schrott KM. Long-term outcome analysis of the first 100 complete repairs of bladder exstrophy in Erlanger-technique. Br J Urol. 2001;87(Suppl. 1):24
  10. Shnorhavorian M, Grady RW, Andersen A, Joyner BD, Mitchell ME. Long-term follow-up of complete primary repair of exstrophy: the Seattle experience. J Urol. 2008;180(Suppl. 4):1615–1620
  11. Purves JT, Baird AD, Gearhart JP. The modern staged repair of bladder exstrophy in the female: a contemporary series. J Pediatr Urol. 2008;4:150–153
  12. Mouriquand PDE, Bubanj T, Feyaerts A, Jandric M, Timsit M, Mollard P, et al. Long-term results of bladder neck reconstruction for incontinence in children with classical bladder exstrophy or incontinent epispadias. Br J Urol. 2003;92:997–1002
  13. Shaw MBK, Rink R, Kaefer M, Cain MP. Continence and classic bladder exstrophy with staged repair. J Urol. 2004;172:1450–1453
  14. Surer I, Baker LA, Jeffs RD, Gearhart JP. Modified Young-Dees-Leadbetter bladder neck reconstruction in patients with successful primary bladder closure elsewhere: a single institution experience. J Urol. 2001;165:2438–2440
  15. Hollowell JG, Ransley PG. Surgical management of incontinence in bladder exstrophy. Br J Urol. 1991;68:543–548
  16. Hanna MK, Williams DI. Genital function in males with vesical exstrophy and epispadias. Br J Urol. 1972;44:169–174
  17. Stein R, Stöckle M, Fisch M, Nakai H, Müller S, Hohenfellner R. The fate of the adult exstrophy patient. J Urol. 1994;152:1413–1416
  18. Mesrobian H-GJ, Kelalis PP, Kramer SA. Long-term follow-up of cosmetic appearance and genital function in boys with exstrophy: review of 53 patients. J Urol. 1986;136:256–258
  19. Ben-Chaim J, Jeffs RD, Reiner WG, Gearhart JP. The outcome of patients with classical bladder exstrophy in adult life. J Urol. 1996;155:1251–1252

PII: S1477-5131(09)00361-1

doi: 10.1016/j.jpurol.2009.06.002

Journal of Pediatric Urology
Volume 6, Issue 1 , Pages 6-10 , February 2010

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