Ectopia vesica at the Bustamante Children's Hospital - abstract

ABSTRACT

All cases of ectopia vesica treated at the Bustamante Children's Hospital from 1977 to 1984 were reviewed, to assess the effectiveness of treatment. During this period, eight cases were seen, one was lost to follow-up. Seven cases are therefore reported. There were no other associated congenital abnormalities. Three patients were not seen until after they were five months of age which is surprising because of the severity of this condition. Our policy has been to attempt staged reconstruction of the lower genito-urinary tract and to attain a funcitonally closed bladder. Cystectomy and urinary diversion (uretero-sigmoidostomy) were reserved for cases of failed bladder closure or an unacceptable level of incontinence. All patients had multiple surgical procedures. Three have undergone cystectomy and uretero-sigmoidostomy. Three have satisfactory bladder closure and are partially continent. One presently has a bladder neck fistula and is totally incontinent (AU)