Bladder extrophy and epispadias remain a challenging problem in pediatric urology. There are many therapeutic options ranging from different types of primary closure to the primary choice for diversion in extrophy patients. Further, there are several options for the treatment of male epispadias. In bladder extrophy, primary closure with meticulous reconstruction of the pelvic floor, combined wi...

OBJECTIVE We reviewed our initial results with complete primary repair of exstrophy in regard to continence status and the need for subsequent continence procedures. PATIENTS AND METHODS We performed a retrospective review of our surgical records from 1996 to 2008 to identify all patients with bladder exstrophy managed at our center. RESULTS Sixteen children were closed successfully. Six pa...

Neurogenic bladder is a very broad disease definition that encompasses varied disease and injury states affecting the bladder. The majority of patients with neurogenic bladder dysfunction do not have concomitant intrinsic sphincteric deficiency (ISD), but when this occurs the challenges of management of urinary incontinence from neurogenic bladder are compounded. There are no guidelines for sur...

BACKGROUND The urethrovesical anastomosis is a particular challenging step of robot assisted radical prostatectomy (RARP). Failure to achieve a watertight anastomosis is associated with postoperative urinary leak and its consequences, which include paralytic ileus, prolonged catheterization, urinary peritonitis and possibly re-intervention. The bidirectional barbed suture is a new technology th...

Title: Combined bladder neck preservation and posterior musculofascial reconstruction during robotic assisted radical prostatectomy: effects on early and long term urinary continence recovery. Authors: Riccardo Bartoletti ([email protected]) Andrea Mogorovich ([email protected]) Francesco Francesca ([email protected]) Giorgio Pomara ([email protected]) ...

A case of 74 years old male patient who underwent RALP with bladder neck reconstruction. Persistent vesicourethral anastomotic leak was seen at cystography. A self-made side fenestrated Foley catheter was used and on the day after, a complete reversal in fluid output between the Foley catheter and the drain was seen.

Spina bifida and myelodysplasia are associated with neurogenic abnormalities of the bladder and bowel function. All children with myelodysplasia require an evaluation of their urinary tract with ultrasound and urodynamics to confirm normal bladder and kidney function. Patients with anatomical and functional abnormalities require treatment, the mainstay being intermittent catheterization and ant...

An eleven year old female child presented with abnormal structure over the genital area since birth and continuous urine leak. Patient had history of premature birth at 28 weeks of gestation. Anus was anteriorly displaced in exstrophy complex. Labia majora and minora were divergent and clitoris was bifid. Two normal vaginas were present on both sides lateral to genitourinary complex structure. ...

BACKGROUND Prostate cancer is the sixth most common cancer worldwide and will include about 30% of all malignancies in men. Since the initial report of the anatomic radical prostatectomy, refinements in the surgical technique have been made. Several studies show that bladder neck preservation (BNP) during radical prostatectomy makes improve early return of urinary continence, erectile function ...