Evaluation of Early Postoperative Outcome of Success of Repair of One Stage Repair of Bladder Exstrophy
DOI:
https://doi.org/10.18034/ra.v11i1.647Keywords:
Bladder exstrophy, wound dehiscence, one-stage repairAbstract
Bladder exstrophy is a rare congenital anomaly of the genitourinary tract producing ventral abdominal wall defect. Previously; it was operated by a multi-stage procedure. In the course of time, the repair of bladder exstrophy has evolved from a staged repair to a one-stage reconstruction with encouraging results in different countries. One-stage repair of bladder exstrophy is being practiced since 2007 in BSMMU. So; this study was conducted on one-stage repair of bladder exstrophy to observe early possible outcomes.
Methods: This prospective observational study was conducted at BSMMU on ten postoperative cases of Classic bladder Exstrophy who underwent one-stage repair from September 2018 to October 2021.
Results: Results show that 10% of the subjects developed wound dehiscence. The mean hospital stay was 18.9 days.
Conclusion: From the results found in this study, one-stage repair of bladder exstrophy achieved success in bladder, and abdominal wall reconstruction, as evidenced by the rate of wound dehiscence is comparably similar. Moreover, one-stage of repair of bladder exstrophy appears to be better enough for broader practice. One-stage reconstruction minimizes the number of surgical procedures required to achieve the treatment goals, including normal genital cosmesis and safe postoperative outcome.
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Agbara, K., Moulot, O., Ehua, M., Konan, J., Yapo Kouamé, G., Traoré, I., Anon, G., Ajoumissi, I., Konvolbo, J., & Bankolé, R. (2022). Bladder exstrophy: Modern staged repair experience in our institution. African Journal of Paediatric Surgery, 19(3), 167. https://doi.org/10.4103/ajps.ajps_167_20
Giron AM, Mello MF, Carvalho PA, Moscardi PR, Lopes RI, Srougi M. One - staged reconstruction of bladder exstrophy in male patients: Long - term follow-up outcomes. International braz j urol. 2017;43(1):155–62.
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