RESUMO
Intra-abdominal tests cannot be completely brought down into the scrotum by conventional methods. Four intra-abdominal testes in 3 patients underwent successful orchiopexy by dividing the spermatic artery and vein near their origin and anastomosing these vessels to the inferior epigastric vessels with the use of microsurgical technique.
Assuntos
Criptorquidismo/cirurgia , Microcirurgia , Escroto/cirurgia , Testículo/cirurgia , Criança , Pré-Escolar , Humanos , Masculino , Microcirurgia/métodos , Testículo/irrigação sanguíneaRESUMO
Now that we have observed the growth and development of 17 of our anatomically reconstructed exstrophy patients through 20 or more years of followup, we are convinced that reconstruction should be the preferred primary treatment. Most of these patients are healthy, attractive, well educated adults and have achieved emotional maturity and stability, despite their many problems. Anatomical reconstruction also has considerable advantages over other current treatments for exstrophy that were not apparent initially.
Assuntos
Extrofia Vesical/cirurgia , Qualidade de Vida , Extrofia Vesical/psicologia , Feminino , Fertilidade , Seguimentos , Humanos , Masculino , Gravidez , Derivação Urinária , Urologia/instrumentaçãoRESUMO
Little is known about pregnancies in women with bladder exstrophy. Of 28 women with bladder exstrophy who were evaluated 7 became pregnant and 5 delivered successfully. Problems seen during pregnancy, the long-term effects and the need for early, informed counseling by the urologist are discussed.
