Ureteral reimplantation before bladder neck plasty in the reconstruction of bladder exstrophy: indications and outcomes

Urology ◽  
2003 ◽  
Vol 61 (4) ◽  
pp. 820-824 ◽  
Author(s):  
Ranjiv Mathews ◽  
J.Slade Hubbard ◽  
John P Gearhart
Keyword(s):  
Bladder Neck ◽  
Bladder Exstrophy ◽  
Ureteral Reimplantation ◽  
Bladder Neck Plasty

URETERAL REIMPLANTATION AND BLADDER NECK TAILORING DURING PRIMARY CLOSURE OF NEONATAL BLADDER EXSTROPHY

2009 ◽  
Vol 181 (4) ◽  
pp. 554-555
Author(s):  
Yaser El-Hout ◽  
Katherine Moore ◽  
Armando J. Lorenzo ◽  
Luis H. Braga ◽  
Joao L. Pippi Salle
Keyword(s):  
Bladder Neck ◽  
Primary Closure ◽  
Bladder Exstrophy ◽  
Ureteral Reimplantation

scholarly journals Histopathology of intersymphyseal band and its correlation with continence in bladder exstrophy repair

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bharati K. Kulkarni ◽  
Nandita Saxena ◽  
Shyam S. Borwankar ◽  
Hemant N. Lahoti ◽  
Pooja Multani ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Urinary Incontinence ◽  
Surgical Management ◽  
Bladder Neck ◽  
Fibrous Tissue ◽  
Bladder Exstrophy ◽  
Significant Percentage

Abstract Background Urinary incontinence is a major problem in operated exstrophy patients. Most of the repairs described in literature stress on the importance of dividing the intersymphyseal band (ISB) to place the bladder in the pelvis. But the origin of this band and its importance has hardly been discussed in literature. The purpose of this study is to establish the nature of tissue the ISB is composed of. This can be used to determine its role in the surgical management of exstrophy epispadias complex (EEC) patients. Results Thirty out of 33 operated patients demonstrated smooth muscle with/without fibrous tissue in the sections taken through the ISB. A significant percentage of patients (χ2= 38.319, p < 0.0001) in whom this band was reconstructed around the bladder neck gradually became continent/partly continent with an increase in the dry interval with time. Conclusion It can be a considerable factor to pay attention to the step of wrapping the ISB around the bladder neck during EEC repair. This serves to function as the smooth muscle of the bladder neck as proven histologically in our operated patients. It may have a role to support future continence in these patients.

Bladder-neck repair in urinary bladder exstrophy

1999 ◽  
Vol 15 (3-4) ◽  
pp. 290-293 ◽  
Author(s):  
V. Bhatnagar ◽  
R. Lal ◽  
S. Agarwala ◽  
D. K. Mitra
Keyword(s):  
Urinary Bladder ◽  
Bladder Neck ◽  
Bladder Exstrophy

201 BLADDER NECK RECONSTRUCTION IN PRIMARY BLADDER EXSTROPHY-EPISPADIAS COMPLEX CLOSURE

2011 ◽  
Vol 10 (2) ◽  
pp. 86
Author(s):  
Y.E. Rudin ◽  
T.N. Garmanova ◽  
D.V. Maruchnenko ◽  
Y.E. Chekeridi
Keyword(s):  
Bladder Neck ◽  
Bladder Exstrophy ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction ◽  
Primary Bladder

scholarly journals Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Reza Khorramirouz ◽  
Seyedeh Sanam Ladi Seyedian ◽  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Urinary Incontinence ◽  
Bladder Neck ◽  
Wide Spectrum ◽  
Bladder Exstrophy ◽  
Bulking Agent ◽  
Rare Entity ◽  
Bladder Duplication ◽  
Wide Variability ◽  
Pubic Diastasis ◽  
Proximal Urethra

Bladder duplication is a rare entity in children. The term encompasses a wide spectrum of anomalies from isolated bladder duplication in coronal or sagittal planes to duplicated bladder exstrophy and associated musculoskeletal and visceral anomalies. Given this wide variability, the treatment of these patients is not standardized. We hereby present a female patient with chief complaint of long-standing urinary incontinence who had complete bladder and urethral duplication and pubic diastasis. The patient was treated with bulking agent injection at the incompetent bladder neck and proximal urethra with resolution of incontinence, obviating the need for extensive surgeries.

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