Skip to main content

Review of Long-Term Results of Staged Functional Reconstruction and Bladder Neck Plasty in Bladder Exstrophy Patients Followed from Birth at the Johns Hopkins Hospital

  • Chapter
The Exstrophy—Epispadias Complex

Abstract

Bladder neck plasty, which is the planned third stage in staged reconstruction of bladder exstrophy grew out of the earlier contributions to incontinence surgery by Hugh Hampton Young, John Dees, Guy Leadbetter and Victor Marshall. Early attempts at reconstruction of classical bladder exstrophy were often dismal failures leading to the statement in the reigning pediatric urology text by Campbell1 in 1951 to say that all exstrophies should be diverted to the skin or the bowel as their best means of management.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Campbell, M: Embryology and anomalies of urogenital tract. In Clinical Pediatric Urology. Edited by Campbell, M. Philadelphia: W.B. Saunders Co., chapt. 3, p. 264, 1951.

    Google Scholar 

  2. Schultz, W. G.: Plastic repair of exstrophy of bladder combined with bilateral osteotomy of ilia. J. Urol., 79: 453, 1958.

    Google Scholar 

  3. Gearhart, J. P., Ben-Chaim, J., Sciortino, C., Sponseller, P. D. and Jeffs, R. D.: The multiple reoperative bladder exstrophy closure: What affects the potential of the bladder? Urology, 47: 240 – 243, 1996.

    Article  PubMed  CAS  Google Scholar 

  4. Jeffs, R. D., Guice, S. L. and Oesch, I.: The factors in successful exstrophy closure. J. Urol., 127: 974, 1982.

    PubMed  CAS  Google Scholar 

  5. Ansel!, J. S.: Surgical treatment of exstrophy of the bladder with emphasis on neonatal primary closure: Personal experience with 28 consecutive cases treated at the University of Washington Hospitals from 1962 to 1977: techniques and results. J. Urol., 121: 650, 1979.

    Google Scholar 

  6. Megalli, M. and Lattimer, J. K.: Review of the management of 140 cases of exstrophy of the bladder. J. Urol., 109: 246, 1973.

    PubMed  CAS  Google Scholar 

  7. Culp, O. S.: Treatment of epispadias with and without urinary incontinence: experience with 46 patients. J. Urol., 109: 120, 1973.

    PubMed  CAS  Google Scholar 

  8. Gearhart, J. P. and Jeffs, R. D.: Bladder exstrophy: Increase in capacity following epispadias repair. J. Urol., 142: 525, 1989.

    PubMed  CAS  Google Scholar 

  9. Marshall, V. F., Marchetti, A. A., and Krantz, K. E.: The correction of stress incontinence by simple vesicourethral suspension. Surg. Gynecol. Obstet., 88: 509, 1949.

    PubMed  CAS  Google Scholar 

  10. Gearhart, J. P., Sciortino, C., Ben-Chaim, J., Peppas, D. S. and Jeffs, R. D.: The Cantwell-Ransley epispadias repair in exstrophy and epispadias: Lessons learned. Urology, 46 (1): 92, 1995.

    Article  PubMed  CAS  Google Scholar 

  11. Gearhart, J. P. and Jeffs, R. D.: Exstrophy of the bladder, epispadias, and other bladder anomalies. In Campbells Urology, 6th ed. Edited by P. C. Walsh, A. B. Retik, T. A. Stamey and E. D. Vaughan, Jr. Philadelphia: W. B. Saunders Co., vol. 2, chapt. 46, pp. 1772 – 1821, 1992.

    Google Scholar 

  12. Lepor, H. and Jeffs, R. D.: Primary bladder closure and bladder neck reconstruction in classical bladder exstrophy. J. Urol., 130: 1142, 1983.

    PubMed  CAS  Google Scholar 

  13. Oesterling, J. E. and Jeffs, R. D.: The importance of a successful initial bladder closure in the surgical management of classical bladder exstrophy: Analysis of 144 patients treated at The Johns Hopkins Hospital between 1975 and 1985. J. Urol., 137: 258, 1987.

    PubMed  CAS  Google Scholar 

  14. Gearhart, J. P., Ben-Chaim, J., Jeffs, R. D. and Sanders, R. C.: Criteria for the prenatal diagnosis of classic bladder exstrophy. Obstet. Gynecol., 85 (6): 961, 1995.

    Article  PubMed  CAS  Google Scholar 

  15. Gearhart, J. P., Forschner, D. C., Jeffs, R. D., Ben-Chaim, J. and Sponseller, P. D.: A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy. J. Urol., 155: 689, 1996.

    Article  PubMed  CAS  Google Scholar 

  16. Sponseller, P. D., Sisson, L. J., Gearhart, J. P., Jeffs, R. D., Magid, D. and Fishman, E.: The anatomy of the pelvis in the exstrophy complex. J. Bone and Joint Surg., 77-A(2): 177, 1995.

    Google Scholar 

  17. Canning, D. A., Gearhart, J. P., Peppas, D. S. and Jeffs, R. D.: The cephalotrigonal reimplant in bladder neck reconstruction for patients with exstrophy or epispadias. J. Urol., 150: 156, 1993.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lakshmanan, Y., Gearhart, J.P., Jeffs, R.D. (1999). Review of Long-Term Results of Staged Functional Reconstruction and Bladder Neck Plasty in Bladder Exstrophy Patients Followed from Birth at the Johns Hopkins Hospital. In: Gearhart, J.P., Mathews, R. (eds) The Exstrophy—Epispadias Complex. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3056-2_24

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-3056-2_24

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4419-3318-8

  • Online ISBN: 978-1-4757-3056-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics