Journal of Pediatric Urology
Volume 6, Issue 4 , Pages 381-384 , August 2010

Failed exstrophy closure: Management and outcome

  • Thomas E. Novak

      Affiliations

    • Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Marburg 149, 600 North Wolfe Street, Baltimore, MD 21287, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 410 955 5358; fax: +1 410 955 0833.
    • ,
  • John P. Costello

      Affiliations

    • Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Marburg 149, 600 North Wolfe Street, Baltimore, MD 21287, USA
    • ,
  • Ryan Orosco

      Affiliations

    • Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Marburg 149, 600 North Wolfe Street, Baltimore, MD 21287, USA
    • ,
  • Paul D. Sponseller

      Affiliations

    • Division of Pediatric Orthopedics, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
    • ,
  • Erin Mack

      Affiliations

    • Medical College of Georgia, Augusta, GA, USA
    • ,
  • John P. Gearhart

      Affiliations

    • Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Marburg 149, 600 North Wolfe Street, Baltimore, MD 21287, USA

Received 28 May 2009 ,Accepted 16 October 2009.

References 

  1. Kiddoo DA, Carr MC, Dulczak S, Canning DA. Initial management of complex urological disorders: bladder exstrophy. Urol Clin North Am. 2004;31:417
  2. Husmann DA, McLorie GA, Churchill BM. Closure of the exstrophic bladder: an evaluation of the factors leading to its success and its importance on urinary continence. J Urol. 1989;142:522
  3. Meldrum KK, Mathews RI, Nelson CP, Gearhart JP. Subspecialty training and surgical outcomes in children with failed bladder exstrophy closure. J Pediatr Urol. 2005;1:95–99
  4. Oesterling JE, Jeffs RD. The importance of a successful initial bladder closure in the surgical management of classical bladder exstrophy: analysis of 144 patients treated at the Johns Hopkins Hospital between 1975 and 1985. J Urol. 1987;137:258
  5. Gearhart JP, Ben-Chaim J, Sciortino C, Sponseller PD, Jeffs RD. The multiple reoperative bladder exstrophy closure: what affects the potential of the bladder?. Urology. 1996;47:240
  6. Gearhart JP, Jeffs RD. Management of the failed exstrophy closure. J Urol. 1991;146:610
  7. Gearhart JP, Peppas DS, Jeffs RD. The failed exstrophy closure: strategy for management. Br J Urol. 1993;71:217
  8. Meldrum KK, Baird AD, Gearhart JP. Pelvic and extremity immobilization after bladder exstrophy closure: complications and impact on success. Urology. 2003;62:1109
  9. Nelson CP, King J, Sponseller PD, Gearhart JP. Repeat pelvic osteotomy in patients with failed closure of bladder exstrophy: applications and outcomes. J Pediatr Surg. 2006;41:1109
  10. Hafez AT, El-Sherbiny MT, Shorrab AA, El-Mowafi H. Complete primary repair of bladder exstrophy in children presenting late and those with failed initial closure: single center experience. J Urol. 2005;174:1549
  11. Stein R, Fisch M, Black P, Hohenfellner R. Strategies for reconstruction after unsuccessful or unsatisfactory primary treatment of patients with bladder exstrophy or incontinent epispadias. J Urol. 1999;161:1934
  12. 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

PII: S1477-5131(09)00480-X

doi: 10.1016/j.jpurol.2009.10.009

Journal of Pediatric Urology
Volume 6, Issue 4 , Pages 381-384 , August 2010

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