Summary
Introduction
The complete primary repair of bladder exstrophy (CPRE) aims to restore normal anatomy
through complete mobilization and reapproximation of the bladder neck and proximal
urethra.
Methods
The Peña stimulator has previously been used to identify musculature in the pelvis.
The device is now used to distinguish intersymphyseal bands from pelvic floor and
urethral sphincteric musculature during CPRE. The ability to distinguish the levator
ani muscles from fibrotic bands assists the surgeon in identifying the appropriate
extent of deep pelvic dissection during CPRE.
Results
During the anatomic bladder neck recreation, the muscle stimulator demonstrated the
striated muscle at the level of the bladder neck and urethral sphincter.
Conclusion
Localization of the muscles at the bladder neck and proximal urethra corroborates
the concept that pelvic floor physical therapy could enhance the strength of the pelvic
floor in children with bladder exstrophy.
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Reference
- Periurethral muscle complex reassembly for exstrophy-epispadias repair.J Urol. 2000 Dec; 164 (PMID: 11061926): 2062-2066
Article info
Publication history
Published online: June 21, 2022
Accepted:
June 16,
2022
Received:
April 14,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
