In:
Birth Defects Research, Wiley, Vol. 115, No. 16 ( 2023-10), p. 1469-1474
Abstract:
Classic bladder exstrophy (CBE) is a rare anterior midline birth defect that remains a challenge for pediatric surgeons. Despite multiple reconstructive methods, outcomes vary widely in various reports. This study aims to compare the success rate and complications of modern staged repair of exstrophy (MSRE) in each gender and compare together. Methods This retrospective cross‐sectional study included cases of CBE between 2010 and 2020 that underwent MSRE. Short‐term follow‐up results, including incontinence rate, vesicoureteral reflux (VUR), urinary infections, deformed genitalia, and so on, were measured in each gender, and their differences were reported. Results Among the 40 newborns with CBE who underwent MSRE, 25 (62.5%) were boys, while the others had non‐male genitalia. The rates of incontinence, VUR, dehiscence, and fistulas did not differ significantly between genders. However, chronic urinary tract infections (UTIs) were more frequent in girls, and boys were more likely to have malformed genitalia ( p 〈 .05). Conclusion Our findings indicate a similar rate of complications in each gender. However, chronic UTIs and external genitalia deformities were significantly more common in girls and boys, respectively. Further large‐sized controlled trials may be needed to corroborate these findings.
Type of Medium:
Online Resource
ISSN:
2472-1727
,
2472-1727
DOI:
10.1002/bdr2.v115.16
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2884154-2
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