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Bladder exstrophy repair
Alternative namesBladder birth defect repair; Everted bladder repair; Exposed bladder repair; Repair of bladder exstrophy
Bladder exstrophy repair is a surgery to repair bladder exstrophy. Exstrophy of the urinary bladder is an uncommon birth defect in which the bladder is exposed, inside out, and protrudes through the abdominal wall.
This defect also includes a separation of the pelvic bones. It occurs more often in boys. The condition is often associated with other congenital birth defects. Surgery to repair the defect is usually performed within the first 48 hours after birth.
The first surgery needed is to separate the exposed bladder from the abdominal wall and close the bladder (bladder repair). The bladder neck and urethra are repaired. A flexible, hollow tube (catheter) is left in to drain the urine from the bladder through the abdominal wall. A second catheter is left in the urethra to promote healing.
IndicationsThe surgery is recommended for children who are born with exposed and everted (exstrophied) bladders.
RisksRisks for any anesthesia are:
Expectations after surgerySurgery is necessary to:
ConvalescenceThe length of hospitalization depends on how severe the defect is, if there are other problems, and how many stages of surgical correction are needed. Complete healing can take 4 to 6 weeks.
Update Date: 5/2/2002David A. Kaufman, M.D., Pulmonary & Critical Care Medicine, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT