20 Years of Functional Reconstructive Surgery in Bladder Exstrophy - Balance 10 Years After a Preliminary Report
Abstract This is an update of a consecutive series of 19 patients with bladder exstrophy presented as a preliminary report 10 years ago with a follow-up of 6 years. The average time of follow-up now is 14 years. In difference to the former report several additional procedures have been performed in...
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| Veröffentlicht in: | European journal of pediatric surgery 1992-10, Vol.2 (5), p.277-280 |
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| container_title | European journal of pediatric surgery |
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| creator | Sacher, P. Schwöbel, M. Stauffer, U. G. |
| description | Abstract
This is an update of a consecutive series of 19 patients with bladder exstrophy presented as a preliminary report 10 years ago with a follow-up of 6 years. The average time of follow-up now is 14 years. In difference to the former report several additional procedures have been performed in most patients. 3 early "good" patients stay "good and continent". Only 3 out of 5 patients categorized as "fair" are now "good and continent" and only one without further intervention. 3 out of 6 patients who were classified as "poor" are now diverted. The overall rate of secondary diversions is 40 % including 2 patients with ureterosigmoidostomies. All patients have normal renal function and normal blood pressures. These results show that an early "good" result generally remains "good" but additional surgery may be warranted. The initially "fair" results usually necessitate a secondary procedure, e. g. augmentation cystoplasty or/and bladder neck tightening to show an improvement. Patients with early "poor" results unfortunately remain "poor" and have a great chance to get diverted. |
| doi_str_mv | 10.1055/s-2008-1063458 |
| format | Article |
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This is an update of a consecutive series of 19 patients with bladder exstrophy presented as a preliminary report 10 years ago with a follow-up of 6 years. The average time of follow-up now is 14 years. In difference to the former report several additional procedures have been performed in most patients. 3 early "good" patients stay "good and continent". Only 3 out of 5 patients categorized as "fair" are now "good and continent" and only one without further intervention. 3 out of 6 patients who were classified as "poor" are now diverted. The overall rate of secondary diversions is 40 % including 2 patients with ureterosigmoidostomies. All patients have normal renal function and normal blood pressures. These results show that an early "good" result generally remains "good" but additional surgery may be warranted. The initially "fair" results usually necessitate a secondary procedure, e. g. augmentation cystoplasty or/and bladder neck tightening to show an improvement. Patients with early "poor" results unfortunately remain "poor" and have a great chance to get diverted.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1063458</identifier><identifier>PMID: 1420072</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Biological and medical sciences ; Bladder Exstrophy - surgery ; Blood Pressure ; Child ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Kidney Function Tests ; Male ; Medical sciences ; Original article ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Surgical Procedures, Operative - methods ; Urinary Diversion - methods ; Urography</subject><ispartof>European journal of pediatric surgery, 1992-10, Vol.2 (5), p.277-280</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1063458.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3016,3017,27923,27924,54558</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4596887$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1420072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sacher, P.</creatorcontrib><creatorcontrib>Schwöbel, M.</creatorcontrib><creatorcontrib>Stauffer, U. G.</creatorcontrib><title>20 Years of Functional Reconstructive Surgery in Bladder Exstrophy - Balance 10 Years After a Preliminary Report</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
This is an update of a consecutive series of 19 patients with bladder exstrophy presented as a preliminary report 10 years ago with a follow-up of 6 years. The average time of follow-up now is 14 years. In difference to the former report several additional procedures have been performed in most patients. 3 early "good" patients stay "good and continent". Only 3 out of 5 patients categorized as "fair" are now "good and continent" and only one without further intervention. 3 out of 6 patients who were classified as "poor" are now diverted. The overall rate of secondary diversions is 40 % including 2 patients with ureterosigmoidostomies. All patients have normal renal function and normal blood pressures. These results show that an early "good" result generally remains "good" but additional surgery may be warranted. The initially "fair" results usually necessitate a secondary procedure, e. g. augmentation cystoplasty or/and bladder neck tightening to show an improvement. Patients with early "poor" results unfortunately remain "poor" and have a great chance to get diverted.</description><subject>Biological and medical sciences</subject><subject>Bladder Exstrophy - surgery</subject><subject>Blood Pressure</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Kidney Function Tests</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Original article</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Urinary Diversion - methods</subject><subject>Urography</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1L5TAUhoMoev3YuhOyEHfVk6-2WerFLxBmcBwYVyFNT7XSNjVpZfz3E7lXXc0qIe_znhweQg4ZnDJQ6ixmHKDMGORCqnKDLJgUOhNK_9kkC9DpXnBZ7pDdGF8AmNQctsk2k6lV8AUZOdBHtCFS39CreXBT6wfb0Xt0fohTmNPDG9Jfc3jC8E7bgV50tq4x0Mu_Kfbj8zvN6IXt7OCQss9h582UEEt_Buzavh1s6t7j6MO0T7Ya20U8WJ975PfV5cPyJrv7cX27PL_LnGB8ymrkrnS6qrRDJzgDVlTcIXOSSZezqhGlQlcVYEHkAE5poazSVVEKyWqQYo-crOaOwb_OGCfTt9FhlxZFP0dTCK4LyHkCT1egCz7GgI0ZQ9unhQ0D86HYRPOh2KwVp8LRevJc9Vh_4yunKT9e5zY62zUhqWnjFyaVzsuySFi2wqbnFns0L34OyXz837f_AGZ5kLk</recordid><startdate>19921001</startdate><enddate>19921001</enddate><creator>Sacher, P.</creator><creator>Schwöbel, M.</creator><creator>Stauffer, U. 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Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Urinary Diversion - methods</topic><topic>Urography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sacher, P.</creatorcontrib><creatorcontrib>Schwöbel, M.</creatorcontrib><creatorcontrib>Stauffer, U. G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sacher, P.</au><au>Schwöbel, M.</au><au>Stauffer, U. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>20 Years of Functional Reconstructive Surgery in Bladder Exstrophy - Balance 10 Years After a Preliminary Report</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>1992-10-01</date><risdate>1992</risdate><volume>2</volume><issue>5</issue><spage>277</spage><epage>280</epage><pages>277-280</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
This is an update of a consecutive series of 19 patients with bladder exstrophy presented as a preliminary report 10 years ago with a follow-up of 6 years. The average time of follow-up now is 14 years. In difference to the former report several additional procedures have been performed in most patients. 3 early "good" patients stay "good and continent". Only 3 out of 5 patients categorized as "fair" are now "good and continent" and only one without further intervention. 3 out of 6 patients who were classified as "poor" are now diverted. The overall rate of secondary diversions is 40 % including 2 patients with ureterosigmoidostomies. All patients have normal renal function and normal blood pressures. These results show that an early "good" result generally remains "good" but additional surgery may be warranted. The initially "fair" results usually necessitate a secondary procedure, e. g. augmentation cystoplasty or/and bladder neck tightening to show an improvement. Patients with early "poor" results unfortunately remain "poor" and have a great chance to get diverted.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>1420072</pmid><doi>10.1055/s-2008-1063458</doi><tpages>4</tpages></addata></record> |
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| ispartof | European journal of pediatric surgery, 1992-10, Vol.2 (5), p.277-280 |
| issn | 0939-7248 1439-359X |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Biological and medical sciences Bladder Exstrophy - surgery Blood Pressure Child Female Follow-Up Studies Humans Infant, Newborn Kidney Function Tests Male Medical sciences Original article Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Surgical Procedures, Operative - methods Urinary Diversion - methods Urography |
| title | 20 Years of Functional Reconstructive Surgery in Bladder Exstrophy - Balance 10 Years After a Preliminary Report |
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