Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases

Süleyman Tağcı; Gökhan Demirtaş; Bilge Karabulut; Tuğrul Tiryaki

doi:10.5505/achmedj.2025.85057

Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases

Abstract

Introductıon: To evaluate the outcome of our patients who underwent BE (bladder exstrophy)repair without osteotomy and to determine whether they are continent, upper urinary system functions, and complication rates. Methods: The data of 50 patients who applied to our clinic due to bladder exstrophy between 2010 and 2022 were analyzed retrospectively. The gender of the patients, the age of the operation, the surgical interventions, the complications detected, whether they were continent or not, and their upper urinary system functions were recorded. Results: The data of the 50 patients diagnosed with classical bladder exstrophy were evaluated and included in the study. Nine of these patients were female, and 41 were male. The patients’ mean age was 71.2 months(6-264 months). The mean follow-up period was determined to be 70.8 months. Bladder closure was performed in 13 of 50 patients, bladder closure + bladder neck repair + epispadias repair was performed in 29 patients, and augmentation was performed for eight patients. Augmentation was recommended for five patients in the follow-up, but patients did not accept it. Skin dehiscence occurred in 2 patients, and a primary suture was performed for them. Three patients were reoperated for bladder dehiscence. During the follow-ups, cystolithotripsy was performed in 3 patients,and csytolitotomy was performed in 2 patients. Bladder dehiscence developed in 1 patient after csytolitotomy, and he was operated on.25 of the 50 patients included in the study were under five years of age. The continence status of the remaining 25 patients was evaluated. Fifteen (60%) of 25 patients were found to be continent. Conclusion: Although strong advocates of bladder exstrophy repair with osteotomy exist, we recommend repair without osteotomy as an easy-to-apply and low-complication approach.

Keywords

References

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Details

Primary Language

English

Subjects

One Health

Journal Section

Research Article

Authors

Süleyman Tağcı ^*
0000-0002-5763-8916
Türkiye

Gökhan Demirtaş
0000-0003-0787-2330
Türkiye

Bilge Karabulut
0000-0002-3638-2253
Türkiye

Tuğrul Tiryaki
0000-0002-9544-1137
Türkiye

Publication Date

March 27, 2025

Submission Date

January 25, 2025

Acceptance Date

February 9, 2025

Published in Issue

Year 2025 Volume: 4 Number: 1

DOI

https://doi.org/10.5505/achmedj.2025.85057

IZ

https://izlik.org/JA99UE49AY

Cite

RIS / Bibtex

APA

Tağcı, S., Demirtaş, G., Karabulut, B., & Tiryaki, T. (2025). Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases. ACH Medical Journal, 4(1), 10-14. https://doi.org/10.5505/achmedj.2025.85057

AMA

1.Tağcı S, Demirtaş G, Karabulut B, Tiryaki T. Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases. ACH Med J. 2025;4(1):10-14. doi:10.5505/achmedj.2025.85057

Chicago

Tağcı, Süleyman, Gökhan Demirtaş, Bilge Karabulut, and Tuğrul Tiryaki. 2025. “Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases”. ACH Medical Journal 4 (1): 10-14. https://doi.org/10.5505/achmedj.2025.85057.

EndNote

Tağcı S, Demirtaş G, Karabulut B, Tiryaki T (March 1, 2025) Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases. ACH Medical Journal 4 1 10–14.

IEEE

[1]S. Tağcı, G. Demirtaş, B. Karabulut, and T. Tiryaki, “Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases”, ACH Med J, vol. 4, no. 1, pp. 10–14, Mar. 2025, doi: 10.5505/achmedj.2025.85057.

ISNAD

Tağcı, Süleyman - Demirtaş, Gökhan - Karabulut, Bilge - Tiryaki, Tuğrul. “Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases”. ACH Medical Journal 4/1 (March 1, 2025): 10-14. https://doi.org/10.5505/achmedj.2025.85057.

JAMA

1.Tağcı S, Demirtaş G, Karabulut B, Tiryaki T. Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases. ACH Med J. 2025;4:10–14.

MLA

Tağcı, Süleyman, et al. “Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases”. ACH Medical Journal, vol. 4, no. 1, Mar. 2025, pp. 10-14, doi:10.5505/achmedj.2025.85057.

Vancouver

1.Süleyman Tağcı, Gökhan Demirtaş, Bilge Karabulut, Tuğrul Tiryaki. Bladder Exstrophy Reconstruction Without Osteotomy; Evaluation of 50 Cases. ACH Med J. 2025 Mar. 1;4(1):10-4. doi:10.5505/achmedj.2025.85057