Cloacal exstrophy reconstruction for urinary continence

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

Research output: Contribution to journalArticle

30 Citations (Scopus)

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
Pages (from-to)554-558
Number of pages5
JournalJournal of Urology
Volume144
Issue number2 II
StatePublished - 1990

Fingerprint

Continent Urinary Reservoirs
Stomach
Urinary Bladder
Intermittent Urethral Catheterization
Parturition

ASJC Scopus subject areas

  • Urology

Cite this

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

Cloacal exstrophy reconstruction for urinary continence. / Mitchell, M. E.; Brito, C. G.; Rink, R. C.

In: Journal of Urology, Vol. 144, No. 2 II, 1990, p. 554-558.

Research output: Contribution to journalArticle

Mitchell, ME, Brito, CG & Rink, RC 1990, 'Cloacal exstrophy reconstruction for urinary continence', Journal of Urology, vol. 144, no. 2 II, pp. 554-558.
Mitchell ME, Brito CG, Rink RC. Cloacal exstrophy reconstruction for urinary continence. Journal of Urology. 1990;144(2 II):554-558.
Mitchell, M. E. ; Brito, C. G. ; Rink, R. C. / Cloacal exstrophy reconstruction for urinary continence. In: Journal of Urology. 1990 ; Vol. 144, No. 2 II. pp. 554-558.
@article{b8640a80b72943f89ad56d1a543447aa,
title = "Cloacal exstrophy reconstruction for urinary continence",
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.",
author = "Mitchell, {M. E.} and Brito, {C. G.} and Rink, {R. C.}",
year = "1990",
language = "English",
volume = "144",
pages = "554--558",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "2 II",

}

TY - JOUR

T1 - Cloacal exstrophy reconstruction for urinary continence

AU - Mitchell, M. E.

AU - Brito, C. G.

AU - Rink, R. C.

PY - 1990

Y1 - 1990

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0025361959&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025361959&partnerID=8YFLogxK

M3 - Article

C2 - 2374239

AN - SCOPUS:0025361959

VL - 144

SP - 554

EP - 558

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 2 II

ER -