Cystoplasty in Bladder Exstrophy
Despite our institutional preference for functional reconstruction of the child with bladder exstrophy,1 the need for bladder augmentation or continent urinary diversion is not infrequent. Techniques for augmentation have not changed tremendously in the past twenty years, although there are some variations and perhaps some completely new techniques on the horizon.2 The decision to augment the bladder in a patient with exstrophy may allow for urinary continence, but it will also cause significant changes in the patient’s lifestyle. These changes are due to techniques of emptying the augmented bladder, potential complications of the augmented bladder, cosmetic implications of augmentation surgery and potential long-term metabolic and neoplastic consequences of bladder augmentation. Because these operations are generally performed in young children, these considerations must weigh heavily on reconstructive decision making.
KeywordsBladder Neck Bladder Augmentation Bladder Exstrophy Augmentation Cystoplasty Continent Urinary Diversion
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