Long-Term Results of Surgical Treatment of Bladder Exstrophy

Exstrophy of the Bladder: Treatment by Trigonosigmoidostomy—Long‐term Results

“…Various methods have been used to treat the child with bladder exstrophy, including primary functional closure of the bladder (Fisher and Retik, 1969; Ezell and Carlsson, 1970; Marshall and Muecke, 1970; Cendron, 1971; Jeffs et al, 1972; Megalli and Lattimer, 1973; Williams and Keeton, 1973), ureteroilealcolostomy (Houtappel, 1963), primary ureterosigmoidostomy (Spence, 1966; King and Wendel, 1972; Bennett, 1973; Megalli and Lattimer, 1973), rectal bladder with adjacent colon pull through (Mauclaire, 1895; Heitz-Boyer and Hovelaque, 1912;Lowsley and Johnson, 1955;Duhamel, 1971;Nedelec et al, 1975), vesicoileosigmoidostomy (Hays et al, 1969;Singer and Pompino, 1966), bladder enlargement by intestinoplasty (Cukier and Ott, 1971;Martinez-Pineiro, 1976) and non-refluxing colon conduits (Hendren, 1976). An alternative approach in patients with bladder exstrophy consists of implanting the isolated trigone in the sigmoid colon.…”