Classic bladder exstrophy and complete rectal prolapse in a 10 year-old child with no previous surgical intervention: what to achieve?

Abstract

The management of bladder exstrophy (BE) remains one of the most significant challenges encountered by pediatric urologists despite improvements in the operative techniques worldwide. Regardless of surgical technique, timing of primary closure remains a matter of debate. The initial closure may be performed within the first 48–72 hours of life or at ~6–12 weeks of age. Delayed presentation until adolescence is extremely rare. However, due to lack of awareness, and access to healthcare along with poor socioeconomic conditions in developing countries, some patients may not receive treatment during infancy. We present a case of a 10-year-old Syrian male with BE associated with complete rectal prolapse who did not undergo any previous surgical interventions.

Urothelial carcinoma occurring in a defunctionalized bladder after urinary diversion due to the bladder exstrophy‐epispadias complex

“…The initial closure is ideally performed within the first 48–72 h of life. However, with less bladder capacity, these operations are sometimes performed at 6–12 weeks of age 3 . There are two surgical strategies.…”

“…However, with less bladder capacity, these operations are sometimes performed at 6–12 weeks of age. 3 There are two surgical strategies. One is a one‐stage reconstruction, including bladder closure, abdominal wall formation, and urethroplasty, and the other is a two‐stage reconstruction in which urethroplasty is performed later.…”