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The Patient with Exstrophy in Adult Life
Article first published online: 21 NOV 2008
DOI: 10.1111/j.1464-410X.1983.tb03392.x
1464-410X/asset/cover.gif?v=1&s=18dc530bb661385ebe747474fa3fa05007689de7 "British Journal of Urology")
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How to Cite
WOODHOUSE, C. R. J., RANSLEY, P. G. and WILLIAMS, D. I. (1983), The Patient with Exstrophy in Adult Life. British Journal of Urology, 55: 632–635. doi: 10.1111/j.1464-410X.1983.tb03392.x
Publication History
- Issue published online: 21 NOV 2008
- Article first published online: 21 NOV 2008
- Abstract
- References
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Summary— One hundred and one cases of classical exstrophy with at least 18 years of follow-up are reported. There were 29 girls and 72 boys. Nine have died but only 3 of urological causes; 19 have been lost to follow-up at various times. In patients born before 1953 and in later patients with small bladders, primary diversion was done. In other patients primary closure was attempted with an 18% continence rate.
Successful bladder closure produced a 25% incidence of any kind of renal damage. With diversion the incidence was 30% (colonic loop) and 75% (ileal loop).
Sexual function is good. Six men have initiated pregnancies; 8 girls had 11 pregnancies, producing 9 normal children.
Education, employment and family life have not been substantially affected.