Bladder Exstrophy Treatment
Reconstructive surgery is required to treat bladder exstrophy. The complexity of the surgery depends on the extent of the malformation. The best results with classic bladder exstrophy have been achieved with staged reconstruction, a series of surgeries that take place over a number of years.
Bladder and pelvic closure are carried out in the newborn period. Epispadias repair in the male occurs during the first years of life, and an operation to correct urine flow and improve continence is carried out between ages 3 and 6.
Some infants will be candidates for newborn closure with epispadias repair at the same time. With appropriate management from the newborn period, the child has a much greater likelihood of having a functional urinary tract and an excellent qu ality of life.
Treatment at UPMC
The Department of Pediatric Urology at UPMC Children's Hospital of Pittsburgh is the only one in Pittsburgh that specializes in the treatment and management of all forms of bladder exstrophy. Steven Docimo, MD, director of pediatric urology, worked in the bladder exstrophy clinic at the Johns Hopkins Hospital for many yea rs before coming to Pittsburgh.
Particular areas of expertise include reconstructive surgery for classic bladder exstrophy and reconstruction for failed exstrophy and epispadias repair. Adults with a history of bladder exstrophy and related issues are also seen.
Dr. Docimo was the first to apply laparoscopic-assisted reconstructive techniques to children and adults with bladder exstrophy, allowing major reconstruction with shorter hospital stays and smaller abdominal incisions.
For patient referral or consultations, contact the Department of Urology at 412-692-4100.