Commentary to ‘One-stage combined delayed bladder closure with Kelly radical soft-tissue mobilization in bladder exstrophy: preliminary results’

Abstract

The authors present data from a retrospective review of 27 bladder exstrophy patients operated in a modified technique of the radical soft tissue mobilization (RSTM). According to their concept, they combined delayed bladder closure and RSTM as a single-stage procedure. Focussing on the safety of this modified concept, the main outcome criterion was the rate of bladder dehiscence. Secondary outcome criteria were UTI, urethral stenosis urethrocutaneous fistula and parietal hernia. Important technical details are keenly described and complemented by coherent drawings and video clips. After a follow-up of 12 months, there was no case of bladder dehiscence, but a number of complications occurred such as urethral stenosis and urethrocutaneous fistula. The authors concluded that early single-stage RSTM combined with bladder closure is a feasible and attractive option in the management of classical bladder exstrophy.