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ORIGINAL ARTICLE
Year : 2001  |  Volume : 18  |  Issue : 1  |  Page : 42-44

Urodynamic evaluation in bladder exstrophy patients following primary turn-in


Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
V Bhatnagar
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


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The staged repair for bladder exstrophy has been established over the last few decades. Bladder neck repair depends on the ability of the closed bladder to increase in capacity with time. Unfortunately, a significant percentage of bladders remain small necessitating a simultaneous bladder augmentation with or after bladder neck reconstruction. We evaluated 12 patients of classical exstrophy after primary turn in using cystometry. In 5 patients the leak point pressure was zero and there was continuous urine leak. The other 7 children demonstrated storage function. There was a high incidence of uninhibited contractions in this group of children (71.4%). The factors influencing the increase in bladder capacity following primary turn-in and the role of urodynamic evaluation is discussed.


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