Back to Journals » Research and Reports in Urology » Volume 5

Perioperative management of classic bladder exstrophy

Authors Massanyi, Gearhart, Kost-Byerly S

Received 8 October 2012

Accepted for publication 9 November 2012

Published 12 March 2013 Volume 2013:5 Pages 67—75


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Video abstract presented by Eric Z Massanyi

Views: 786

Eric Z Massanyi,1 John P Gearhart,1 Sabine Kost-Byerly2

1Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, 2Division of Pediatric Anesthesia, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital and Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA

Abstract: The exstrophy-epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall muscles, and pelvic structures. Modern surgical repairs focus on reconstruction of the bladder and its adjacent structures, with the goal of achieving urinary continence, a satisfactory cosmetic result, and a high quality of life. Complex surgery in neonates and young children, as well as a prolonged postoperative course require close collaboration between surgeons, anesthesiologists, intensivists, pediatricians, and an experienced nursing staff. This article will review the spectrum of bladder exstrophy anomalies, the surgical repair, and the perioperative interdisciplinary management.

Keywords: bladder exstrophy, infant, newborn, surgery, anesthesia

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]