Bladder Exstrophy

Overview bladder valgus, after the Department of Health found that the center of the next abdominal have different levels of abdominal wall defect, causing bladder pulls out from within. All serious bladder exstrophy, bilateral ureteral orifice exposed pubic defect, and there are serious Epispadias formed. Autopsy of the child in about 1,000 cases each have one cases of bladder exstrophy, but clinical cases statistical material about 50, There were 000 case that the majority of the patients died shortly after birth, more men than women, about 8:1. Cause pathogenesis explanation from embryology, it is generally believed that mesoderm in the lower abdomen failed to local development, abdominal wall defect, cloaca forward displacement caused exstrophy of the bladder. (Figure 1,2) Figure 1 Bladder Exstrophy and Epispadias patients Xing X, the seven-year-old male, No. 79694 hospitalized Figure 2 Bladder Exstrophy (Map) clinical performance under the abdominal wall defect, bladder exstrophy, was bright red. Serious bilateral ureteral orifice exposed, we can see both sides of urine from the ureteral orifice was emitted showers. More serious, suprapubic joint defects, serious epispadias and penile deformity. As urine frequently wetting pants, with the surrounding skin erosion taste very strong urine smell of urine. Patients usually have other congenital malformations, such as spina bifida, cleft lip, and so on. Generally speaking, vulnerable patients with upper urinary infection quietly, but the actual situation, some serious bladder exstrophy, lived for nearly 30 years before they seek medical treatment to check up the growth and development of life is good. Diagnosis diagnosis of the disease can be instantly without special inspections. But as more associated with other congenital malformations, the right body and the various system checks, they would have to be detailed and meticulous. In addition to surgery for the treatment of light cases, only a small portion of the bladder mucosa pulls out, the abdominal wall defects was very small, Local repair methods can be used successfully. To the more severe, more to repair partial failure generally more after the 10-year-old. OK transplant ureter rectum, sigmoid colostomy, which resulted in more ideal. Complications of spina bifida; Cleft lip