Modern Management of the Exstrophy-Epispadias Complex

Modern Management of the Exstrophy-Epispadias Complex

The exstrophy-epispadias complex is a rare spectrum of malformations affecting the genitourinary system, anterior abdominal wall, and pelvis. Historically, surgical outcomes were poor in patients with classic bladder exstrophy and cloacal exstrophy, the two more severe presentations. However, modern...

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Main Authors: Brian M. Inouye, Ali Tourchi, Heather N. Di Carlo, Ezekiel E. Young, John P. Gearhart
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Surgery Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/587064
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spelling doaj-c07966373b6c4c54bfedca79db3b523b2020-11-24T21:27:17ZengHindawi LimitedSurgery Research and Practice2356-77592356-61242014-01-01201410.1155/2014/587064587064Modern Management of the Exstrophy-Epispadias ComplexBrian M. Inouye0Ali Tourchi1Heather N. Di Carlo2Ezekiel E. Young3John P. Gearhart4Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USADivision of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USADivision of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USADivision of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USADivision of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USAThe exstrophy-epispadias complex is a rare spectrum of malformations affecting the genitourinary system, anterior abdominal wall, and pelvis. Historically, surgical outcomes were poor in patients with classic bladder exstrophy and cloacal exstrophy, the two more severe presentations. However, modern techniques to repair epispadias, classic bladder exstrophy, and cloacal exstrophy have increased the success of achieving urinary continence, satisfactory cosmesis, and quality of life. Unfortunately, these procedures are not without their own complications. This review provides readers with an overview of the management of the exstrophy-epispadias complex and potential surgical complications.http://dx.doi.org/10.1155/2014/587064
collection DOAJ
language English
format Article
sources DOAJ
author Brian M. Inouye
Ali Tourchi
Heather N. Di Carlo
Ezekiel E. Young
John P. Gearhart
spellingShingle Brian M. Inouye
Ali Tourchi
Heather N. Di Carlo
Ezekiel E. Young
John P. Gearhart
Modern Management of the Exstrophy-Epispadias Complex
Surgery Research and Practice
author_facet Brian M. Inouye
Ali Tourchi
Heather N. Di Carlo
Ezekiel E. Young
John P. Gearhart
author_sort Brian M. Inouye
title Modern Management of the Exstrophy-Epispadias Complex
title_short Modern Management of the Exstrophy-Epispadias Complex
title_full Modern Management of the Exstrophy-Epispadias Complex
title_fullStr Modern Management of the Exstrophy-Epispadias Complex
title_full_unstemmed Modern Management of the Exstrophy-Epispadias Complex
title_sort modern management of the exstrophy-epispadias complex
publisher Hindawi Limited
series Surgery Research and Practice
issn 2356-7759
2356-6124
publishDate 2014-01-01
description The exstrophy-epispadias complex is a rare spectrum of malformations affecting the genitourinary system, anterior abdominal wall, and pelvis. Historically, surgical outcomes were poor in patients with classic bladder exstrophy and cloacal exstrophy, the two more severe presentations. However, modern techniques to repair epispadias, classic bladder exstrophy, and cloacal exstrophy have increased the success of achieving urinary continence, satisfactory cosmesis, and quality of life. Unfortunately, these procedures are not without their own complications. This review provides readers with an overview of the management of the exstrophy-epispadias complex and potential surgical complications.
url http://dx.doi.org/10.1155/2014/587064
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