Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence
We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. He u...
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Veröffentlicht in: | Einstein (São Paulo, Brazil) Brazil), 2018-11, Vol.16 (4), p.eRC3887 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. He underwent a procedure to close bladder neck and reconfigure abdominal wall. After the procedure the patient developed a fistula that was treated, but it persisted and, for this reason, a catheterizable pouch was constructed and native bladder was discarded. Twin two required the immediately construction of catheterizable pouch using the Macedo's technique. Currently, both patients are continent at 4 hour intervals. The mean follow-up was 8 months. Modern continent urinary diversion techniques offer new perspectives and hope for such complex population. |
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ISSN: | 1679-4508 2317-6385 2317-6385 |
DOI: | 10.31744/einstein_journal/2018RC3887 |