Cloacal exstrophy reconstruction for urinary continence

M. E. Mitchell, C. G. Brito, R. C. Rink

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

From 1978 to 1989 we treated 16 patients which cloacal exstrophy, including 8 who have been treated since birth. To achieve urinary continence bladder reconstruction was required in 12 patients, including 3 ileocystoplasties, 4 gastrocystoplasties and 5 gastric continent urinary reservoirs. All 12 patients underwent simultaneous bladder neck/urethral continence procedures. Of the 12 patients with completed reconstruction 10 were evaluable for continence. All 10 patients are dry for periods of 3 or more hours, and 5 are totally dry day and night. All but 1 patient are totally dependent on clean intermittent catheterization. Follow-up ranges from 2 to 66 months, and all except 1 patient have stable upper tract function. Patients with cloacal exstrophy can undergo reconstruction in a fashion to maintain urinary continence, and stomach is the ideal tissue for such reconstruction.

Original languageEnglish (US)
Pages (from-to)554-558
Number of pages5
JournalJournal of Urology
Volume144
Issue number2 II
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Urology

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    Mitchell, M. E., Brito, C. G., & Rink, R. C. (1990). Cloacal exstrophy reconstruction for urinary continence. Journal of Urology, 144(2 II), 554-558.