Standing the test of time

Long-term outcome of reconstruction of the exstrophy bladder

Christopher R J Woodhouse, Amanda C. North, John P. Gearhart

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

The surgical management of classic bladder exstrophy has evolved over time. Different techniques are used to address the challenge of reconstructing these patients. We review the long-term outcomes of bladder exstrophy treatment from the published literature with regard to urinary continence, voiding and secondary complications. Continence now can be achieved in up to 80% of children in specialist centres. Whether such success can sustained into adult life is uncertain. About 40% of adults are dry in the best hands. Up to 84% of children can void, but there is some evidence that this function is lost with time in 70%. The need for bladder augmentation is widely variable between series, reported in 0-70% of children. This reduces the ability to void spontaneously to about 50% of children. It brings with it the later risk of metabolic disturbance and stone formation. Adults with exstrophy have a 694-fold increase in the risk of bladder cancer by the age of 40 years.

Original languageEnglish (US)
Pages (from-to)244-249
Number of pages6
JournalWorld Journal of Urology
Volume24
Issue number3
DOIs
StatePublished - Aug 2006
Externally publishedYes

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Bladder Exstrophy
Urinary Bladder Neoplasms
Urinary Bladder
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Keywords

  • Bladder exstrophy
  • Follow-up
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

Cite this

Standing the test of time : Long-term outcome of reconstruction of the exstrophy bladder. / Woodhouse, Christopher R J; North, Amanda C.; Gearhart, John P.

In: World Journal of Urology, Vol. 24, No. 3, 08.2006, p. 244-249.

Research output: Contribution to journalArticle

Woodhouse, Christopher R J ; North, Amanda C. ; Gearhart, John P. / Standing the test of time : Long-term outcome of reconstruction of the exstrophy bladder. In: World Journal of Urology. 2006 ; Vol. 24, No. 3. pp. 244-249.
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