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Historical trends in the management of bladder exstrophy

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Abstract

The history of bladder exstrophy dates back to 2,000 B.C., there being a reference to this congenital anomaly on an Assyrian tablet preserved in the British Museum. Although there are few references to “non-treatment” of this anomaly in newborns, or for that matter in older infants, there are now an increasing number of references to a wide variety of surgical procedures, and an attempt will be made to trace the historical sequence of many of these. The management of bladder exstrophy continues to advance with the recent advent of early closure, clean intermittent catheterisation, and continent stomas. However, the ability to make a prenatal diagnosis increases the challenge to obtain good cosmetic and functional results. Thus, efforts continue to be made to reliably produce continence, avoid morbidity from herniae, provide a normal umbilicus, and at the same time preserve renal function and achieve a favourable outcome for the genitalia.

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  1. Urology Unit, Women's and Children's Hospital, and Departments of Paediatrics and Surgery, University of Adelaide, South Australia

    P. A. Dewan

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Dewan, P.A. Historical trends in the management of bladder exstrophy. Pediatr Surg Int 10, 289–297 (1995). https://doi.org/10.1007/BF00182206

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