Urinary continence: Experience of a single departement with 136 cases

• Main Authors: Hanaa Khir Allah (Author), Aiat Allah Skiredj (Author), Freddy Niyongere (Author), Mohamed Rami (Author), Rachid Belkacem (Author), Mohamed Amine Bouhafs (Author)
• Format: Book
• Published: Archive of Urological Research - Peertechz Publications, 2020-05-09.
• Subjects: Retrospective Study
• Online Access: Connect to this object online.

<p>Purpose: We performed a retrospective review of patients with bladder Extrophy, to analyse long term outcomes of bladder neck reconstruction and evaluate factors influencing urinary continence. </p><p>Materiels and methods: We reviewed the chart of 136 patients treated for bladder extrophy Epispadias complex, at our institution from 2000 to 2019. </p><p>Mitchell bladder neck reconstruction technique was performed in all patients, including Mitrofanoff's procedure in 20 patients and bladder augmentation in 15 patients. </p><p>Criteria for good outcome in terms of continence are defined and factors influencing continence results are reviewed. </p><p>Results: Data from our series showed continence following successful Bladder neck reconstruction(BNR) was excellent in 37% of patients .This increased to 72% after Mitrofanoff's procedure. </p><p>Most patients ( 57% )had good results 4 % of patients a poor result. </p><p>Conclusion: Successful initial bladder closure , bladder capacity, and type of bladder neck reconstruction , have an important impact on management of bladder exstrophy</p>