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Alternative Names
Bladder birth defect repair; Everted bladder repair; Exposed bladder repair; Repair of bladder exstrophyDefinition Return to top
Bladder exstrophy repair is surgery to repair a birth defect in which the bladder is inside out and sticks out of the abdominal wall. The pelvic bones are also separated.
Description Return to top
Bladder exstrophy repair involves two surgeries: One to repair the bladder and another to attach the pelvic bones to each other.
The first surgery separates the exposed bladder from the abdomen wall and closes the bladder. The bladder neck and urethra are repaired. A flexible, hollow tube called a catheter is placed to drain urine from the bladder through the abdominal wall. A second catheter is left in the urethra to promote healing.
The second surgery, pelvic bone surgery, may be done along with the bladder repair. Or, it may be delayed for weeks or months.
Why the Procedure is Performed Return to top
The surgery is recommended for children who are born with bladder exstrophy. Bladder exstrophy occurs more often in boys and is often associated with other birth defects.
Surgery to repair the defect is usually performed within the first 48 hours after birth.
Risks Return to top
Risks with this procedure may include:
Risks for any anesthesia are:
Outlook (Prognosis) Return to top
Surgery is necessary to:
Some children are unable to develop enough urinary control and may need surgery again later.
Recovery Return to top
After pelvic bone surgery, the child will need to be in a lower body cast or sling. This helps the bones heal.
How long the child stays in the hospital depends on:
References Return to top
Gearhart JP, Mathews R. Exstrophy-Epispadias Complex. In: Wein AJ. Wein: Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 119.
Update Date: 5/22/2008 Updated by: Scott M. Gilbert, MD, Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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Page last updated: 25 September 2008 |