ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Epispadias Repair And Primary Closure Ofbladder Exstrophy
Adnan ABASIYANIK*, Burhan KÖSEOĞLU**, Lütfi DAĞDÖNDEREN**,
Ahmet Hamdi GÜNDOĞAN**, Mahmut KIŞ***, Alaeddin DİLSİZ*
*Assist.Prof.Dept. of Pediatric Surgery, Selçuk University, Faculty of Medicine
**Resident, Dept. of Pediatric Surgery, Selçuk University, Faculty of Medicine
***Specialist, Dept. of Orthopaedics and Traumatology, SIA Ankara Hospital, ANKARA
We treated five patients with the exstrophy-epispadias complex during 1991-1994. We performed a bilateral innominate iliac osteotomy in all our cases and primary bladder closure was established in the following two months, except for a 72 hour old baby whose bladder was reconstructed on the third day of admission. All of the patients underwent penile reconstruction following an average of 13 months of their previous operation. One of our patients later had a gastrocystoplasty and a uretero-neocystotostomy with the reconstruction of the bladder neck because of a grade four vesico-ureteral reflux. In two of the remaining patients, a uretero-neocystotostomy was performed because of grade 4-5 reflux.
We managed to obtain a satisfactory urinary continence in four of our patients. Our only patient with urinary incontinence at present is three years old and a future bladder neck reconstruction is planned.
Keywords: Bladder exstrophy, Primary closure
Turkiye Klinikleri J Med Sci 1997, 17:131-133
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