Urinary continence: Experience of a single departement with 136 cases

Hanaa Khir Allah*, Aiat Allah Skiredj, Freddy Niyongere, Mohamed Rami, Rachid Belkacem and Mohamed Amine Bouhafs

Purpose: We performed a retrospective review of patients with bladder Extrophy, to analyse long term outcomes of bladder neck reconstruction and evaluate factors influencing urinary continence.

Materiels and methods: We reviewed the chart of 136 patients treated for bladder extrophy Epispadias complex, at our institution from 2000 to 2019.

Mitchell bladder neck reconstruction technique was performed in all patients, including Mitrofanoff’s procedure in 20 patients and bladder augmentation in 15 patients.

Criteria for good outcome in terms of continence are defined and factors influencing continence results are reviewed.

Results: Data from our series showed continence following successful Bladder neck reconstruction(BNR) was excellent in 37% of patients .This increased to 72% after Mitrofanoff’s procedure.

Most patients ( 57% )had good results 4 % of patients a poor result.

Conclusion: Successful initial bladder closure , bladder capacity, and type of bladder neck reconstruction , have an important impact on management of bladder exstrophy

Keywords:

Published on: May 9, 2020 Pages: 34-39

Full Text PDF Full Text HTML DOI: 10.17352/aur.000014
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