Modern Management of the Exstrophy-Epispadias Complex

Brian M. Inouye; Ali Tourchi; Heather N. Di Carlo; Ezekiel E. Young; John P. Gearhart

doi:10.1155/2014/587064

Surgery Research and Practice (Jan 2014)

Modern Management of the Exstrophy-Epispadias Complex

Brian M. Inouye,
Ali Tourchi,
Heather N. Di Carlo,
Ezekiel E. Young,
John P. Gearhart

Affiliations

Brian M. Inouye: Division 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, USA
Ali Tourchi: Division 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, USA
Heather N. Di Carlo: Division 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, USA
Ezekiel E. Young: Division 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, USA
John P. Gearhart: Division 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, USA

DOI: https://doi.org/10.1155/2014/587064
Journal volume & issue: Vol. 2014

Abstract

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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.

Published in Surgery Research and Practice

ISSN: 2356-7759 (Print); 2356-6124 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Surgery
Website: https://onlinelibrary.wiley.com/journal/9702

About the journal