Evaluation of Early Postoperative Outcome of Success of Repair of One Stage Repair of Bladder Exstrophy

Abstract

Bladder exstrophy is a rare congenital anomaly of the genitourinary tract producing ventral abdominal wall defect. Previously; it was operated by a multi-stage procedure. In the course of time, the repair of bladder exstrophy has evolved from a staged repair to a one-stage reconstruction with encouraging results in different countries. One-stage repair of bladder exstrophy is being practiced since 2007 in BSMMU. So; this study was conducted on one-stage repair of bladder exstrophy to observe early possible outcomes.
 Methods: This prospective observational study was conducted at BSMMU on ten postoperative cases of Classic bladder Exstrophy who underwent one-stage repair from September 2018 to October 2021.
 Results: Results show that 10% of the subjects developed wound dehiscence. The mean hospital stay was 18.9 days.
 Conclusion: From the results found in this study, one-stage repair of bladder exstrophy achieved success in bladder, and abdominal wall reconstruction, as evidenced by the rate of wound dehiscence is comparably similar. Moreover, one-stage of repair of bladder exstrophy appears to be better enough for broader practice. One-stage reconstruction minimizes the number of surgical procedures required to achieve the treatment goals, including normal genital cosmesis and safe postoperative outcome.