Short-term outcome of Kelly procedure for bladder exstrophy- epispadias complex
10.3760/j.issn.1000-6702.2017.z1.010
- VernacularTitle:Kelly手术治疗膀胱外翻-尿道上裂复合畸形的短期疗效
- Author:
Yichen HUANG
1
;
Yiqing LYU
;
Hua XIE
;
Ling YU
;
Xiaoxi LI
;
Li SUN
;
Yan CHEN
;
Huizhen SUN
;
Ganggang YANG
Author Information
1. 200062,上海市儿童医院 上海交通大学附属儿童医院泌尿外科
- Keywords:
Children;
Exstrophy;
Epispadias;
Surgery
- From:
Chinese Journal of Urology
2017;38(z1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the short-term outcome of the Kelly procedure for bladder exstrophy-epispadias complex.Methods Kelly procedure was performed in 5 cases from December 2015 in our institute. Retrospective analysis was done including the surgery and follow up.Results Two bladder exstrophy boys had histories of primary bladder closure without bladder neck reconstruction during the neonatal period. Another three epispadias boys had sever urethral defects with full incontinence. All cases undertook Kelly procedure and were followed up for 7.8 months (2-12 months). No severe complications such as glanular necrosis, urethral stricture and urethrocutaneous fistula was observed. Four cases were fully continent and one epispadias case had stress incontinence.Conclusions Kelly procedure produced satisfactory urinary continence and phallic cosmetics in bladder exstrophy-epispadias complex in children. Proper identification of the pudendal neurovascular bundle and repair of the external sphincter by levatorplasty help improve the outcome.
