Bladder Exstrophy

Abstract

Introduction: Bladder exstrophy is a major malformation in paediatric urology. The treatment results are not still completely satisfactory, and their management is an enormous problem in Sub-Saharan Africa. While outlining our challenges, we report our management experience to improve our results. Subjects and Methods: We retrospectively reviewed the records of patients undergoing surgical repair of classic bladder exstrophy at our department between January 2010 and December 2019 (10 years). Epidemiological, clinical, therapeutic and evolution data were analysed. Results: Twenty-five children with classic bladder exstrophy were treated. Our series included 16 boys and 9 girls with a sex ratio of 1.7. Age ranged from 0 day to 6 years. Twenty-five bladder closures were performed, associated to pelvic osteotomy in 11 cases. Epispadias repair was performed on nine boys. Eight cases of bladder neck reconstruction and three cases of bladder enlargement were performed. We observed six bladder fistulas, four wound dehiscence, of which three partial, two parietal suppurations and six cases of urinary tract infection. Eight children had a continence of 1–2 h. Conclusion: The treatment of bladder exstrophy in our context is still limited because of financial difficulties encountered by the population and the insufficient technical platform in our country.

The Potential Role of Procalcitonin Compared to C-reactive protein and Neutrophil Lymphocyte Ratio in Prediction of Severity and Outcomes of Acute Corrosive Ingestion

“…The majority of patients (75%) in the current study ingested alkaline caustic agents, this was in accordance with several studied, which proposed that acidic agents usually cause severe immediate pain after ingestion and are rapidly expelled, while alkaline agents have almost imperceptible taste and odor with an easy swallowing, in addition to the wide spread and availability of alkaline agents in homes (Agbara et al, 2019;Acehan et al, 2021). Nevertheless, no significant 2020) reported that alkalis ingestion was associated with higher incidence of complications, higher probability of esophageal stricture and worse endoscopic score compared to acids.…”