Renal Function in Continent Patients after Surgical Closure of Bladder Exstrophy

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Abstract
The upper urinary tracts and renal function in 22 children who had achieved continence after staged correction of bladder exstrophy were assessed. All patients were followed for an average of 8 yr after completion of the reconstructive operation. The upper urinary tracts in 15 patients were normal, and only 1 of the remaining 7 required surgical correction (transureteroureterostomy) of the residual anomaly. Renal function was normal in all children. These satisfactory results could be attributed to careful selection of patients, improved surgical techniques and good postoperative care.