Skip to main content
SpringerLink
Log in

Epispadias-Exstrophy Complex

  • Chapter
  • First Online:
Pediatric Urogenital Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1119 Accesses

Abstract

The epispadias-exstrophy complex represents a spectrum of malformations ranging from epispadias to cloacal exstrophy (Wood 1990). The most common entities of this complex and their frequencies are listed in Table 1 (Duckett and Cladamone 1985).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Ahmed S, Abu Daia J (1998) Exstrophic abdominal wall defect without bladder exstrophy (pseudo-exstrophy). Br J Urol 81:762–763

    Article  CAS  PubMed  Google Scholar 

  • Ben-Chaim J, Gearhart JP (1996) Current management of bladder exstrophy. Tech Urol 2:22–33

    PubMed  CAS  Google Scholar 

  • Ben-Chaim J, Docimo S, Jeffs RD (1996) Bladder exstrophy from childhood into adult life. J R Soc Med 89:39–46

    Article  Google Scholar 

  • Borwankar SS, Kasat LS, Naregal A (1998) Covered exstrophy: a rare variant. Pediatr Surg Int 14:129–130

    Article  CAS  PubMed  Google Scholar 

  • Cadeddu JA, Benson JE, Silver RI (1997) Spinal abnormalities in classic bladder exstrophy. Br J Urol 79:975–978

    Article  CAS  PubMed  Google Scholar 

  • Canning DA (1996) Bladder exstrophy: the case for primary bladder reconstruction. J Urol 48:831–834

    Article  CAS  Google Scholar 

  • Connolly JA, Peppas DS, Jeffs RD (1995) Prevalence and repair of inguinal hernias in children with bladder exstrophy. J Urol 154:1900–1901

    Article  CAS  PubMed  Google Scholar 

  • Crankscon SJ, Ahmed S (1997) Female bladder exstrophy. Int Urogynecol J Pelvic Floor Dysfunct 8:98–104

    Article  Google Scholar 

  • Currarino G, Wood B, Majd M (1993) The genitourinary tract and retroperitoneum–epispadias-exstrophy complex. In: Silverman F, Kuhn J (eds) Caffey’s pediatric X-ray diagnosis. An integrated imaging approach. Mosby, St. Louis, pp 1298–1301

    Google Scholar 

  • Dickson AP (2014) The management of bladder exstrophy: the Manchester experience. J Pediatr Surg 49(2):244–250

    Article  PubMed  Google Scholar 

  • Diamond DA, Bauer SB, Dinlenc C (1999) Normal urodynamics in patients with bladder exstrophy: are they achievable? J Urol 162:841–845

    Article  CAS  PubMed  Google Scholar 

  • Duckett JW, Cladamone AA (1985) Bladder and urachus. In: Kelalis PP, King LR, Belman AB (eds) Clinical pediatric urology. Saunders, Philadelphia, pp 726–742

    Google Scholar 

  • Duffy PG (1995) Bladder exstrophy. Semin Pediatr Surg 5:129–132

    Google Scholar 

  • Fotter R (1992) Functional disorders of the lower urinary tract: urodynamic and radiological diagnosis. In: Thomsen HS (ed) European uroradiology 1992. FADL, Copenhagen, pp 127–132

    Google Scholar 

  • Fotter R (1994) Children. In: Dalla Palma L, Thomsen HS (eds) European uroradiology 1994. FADL, Copenhagen, pp 120–127

    Google Scholar 

  • Fotter R (1996) Neurogenic bladder in infants and children–a new challenge for the radiologist. Abdom Imaging 21:534–540

    Article  CAS  PubMed  Google Scholar 

  • Fotter R, Kopp W, Klein E, Höllwarth M, Uray E (1986) Unstable bladder in children: functional evaluation by modified voiding cystourethrography. Radiology 161:811–813

    Article  CAS  PubMed  Google Scholar 

  • Gargollo PC, Borer JG, Retik AB (2005) Magnetic resonance imaging of pelvic musculoskeletal and genitourinary anatomy in patients before and after complete repair of bladder exstrophy. J Urol 174:1559–1566

    Article  PubMed  Google Scholar 

  • Hollowell JG, Hill PD, Duffy PG (1992) Lower urinary tract function after exstrophy closure. Pediatr Nephrol 6:428–432

    Article  CAS  PubMed  Google Scholar 

  • Husmann DA, McLorie GA, Churchill BM, Ein SH (1990) Inguinal pathology and is association with classical bladder exstrophy. J Pediatr Surg 25:332–334

    Article  CAS  PubMed  Google Scholar 

  • Husmann DA, McLorie GA, Churchill BM (1993) Hypertension following primary bladder closure for vesical exstrophy. J Pediatr Surg 28:239–241

    Article  CAS  PubMed  Google Scholar 

  • Inouye BM, Massanyi EZ, Di Carlo H, Shah BB, Gearhart JP (2013) Modern management of bladder exstrophy repair. Curr Urol Rep 14(4):359–365

    Article  PubMed  Google Scholar 

  • Johnson P, Sarin YK, Kapoor R (1995) Inferior vesical fissure. J Urol 154:1478

    Article  CAS  PubMed  Google Scholar 

  • Kelly CH (1998) Exstrophy and epispadias: Kelly’s method of repair. In: O’Neill JA (ed) Pediatric surgery, 5th edn. Mosby, St. Louis, pp 1732–1759

    Google Scholar 

  • Lizscano-Gil LA, Garcia-Cruz D, Sanchez-Corona J (1995) Omphalocele–exstrophy–imperforate anus–spina bifida complex in a male prenatally exposed to diazepam. Arch Med Res 26:95–96

    Google Scholar 

  • Mathews R, Wills M, Perlman E (1999) Neural innervation of the newborn exstrophic bladder: an immunohistochemical study. J Urol 162:506–508

    Article  CAS  PubMed  Google Scholar 

  • Muecke EC (1964) The role of the cloacal membrane in exstrophy: the first successful experimental study. J Urol 92:659

    Article  CAS  PubMed  Google Scholar 

  • Perren F, Frey P (1998) The exstrophy-epispadias complex in the duplicated lower urinary tract. J Urol 159:1681–1683

    Article  CAS  PubMed  Google Scholar 

  • Riccabona M (2004) Pediatric MRU – its potential and its role in the diagnostic work-up of upper urinary tract dilatation in infants and children. World J Urol 22;79–87

    Google Scholar 

  • Riccabona M, Avni FE, Blickman JG (2008) Imaging recommendations in paediatric uroradiology: minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007. Pediatr Radiol 38(2):138–145

    Article  PubMed  Google Scholar 

  • Riccabona M, Avni FE, Blickman JG (2009) Imaging recommendations in paediatric uroradiology. Minutes of the ESPR uroradiology task force session on childhood obstructive uropathy, high-grade fetal hydronephrosis, childhood haematuria, and urolithiasis in childhood. ESPR Annual Congress, Edinburgh, UK, June 2008. Pediatr Radiol 39(8):891–898

    Article  PubMed  Google Scholar 

  • Riccabona M, Avni FE, Dacher JN (2010) ESPR uroradiology task force and ESUR paediatric working group: imaging and procedural recommendations in paediatric uroradiology, part III. Minutes of the ESPR uroradiology task force minisymposium on intravenous urography, uro-CT and MR-urography in childhood. Pediatr Radiol 40:1315–1320

    Article  PubMed  Google Scholar 

  • Riccabona M, Nelson TR, Pretorius DH, Davidson TE (1996) In vivo three–dimensional sonographic measurement of organ volume: validation in the urinary bladder. J Ultrasound Med 15:627–632

    Article  CAS  PubMed  Google Scholar 

  • Sahoo SP, Gangopadhyay AN, Sinha CK (1997) Covered exstrophy: a rare variant of classical bladder exstrophy. Scand J Urol Nephrol 31:103–106

    Article  CAS  PubMed  Google Scholar 

  • Salem HK, Eisa M (2012) Long-term follow-up (18–35 years) of male patients with history of bladder exstrophy (BE) repair in childhood: erectile function and fertility potential outcome. J Sex Med 9(5):1466–1472. doi:10.1111/j1743-6109-2011-02536.x

    Article  PubMed  Google Scholar 

  • Smith NM, Chambers HM, Furness ME (1992) The OEIS complex (omphalocele-exstrophy–imperforate anus–spinal defects): recurrence in sibs. J Med Genet 29:730–732

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sponseller BD, Bisson LJ, Gearhart JP (1995) The anatomy of the pelvis in the exstrophy complex. J Bone Joint Surg Am 77:177–189

    Article  CAS  PubMed  Google Scholar 

  • Sripathi V, Sen S, Ahmed S (1997) Normal umbilicus and infra-umbilical abdominal wall in bladder exstrophy. Br J Urol 80:672

    Article  CAS  PubMed  Google Scholar 

  • Stein R, Stockle M, Fisch M (1994) The fate of the adult exstrophy patient. J Urol 152:1413–1416

    Article  CAS  PubMed  Google Scholar 

  • Swana HS, Gallagher PG, Weiss RM (1997) Pseudoexstrophy of the bladder: case report and literature review. J Pediatr Surg 32:1480–1481

    Article  CAS  PubMed  Google Scholar 

  • Wood BP (1990) Cloacal malformations and exstrophy syndromes. Radiology 177:326–327

    Article  CAS  PubMed  Google Scholar 

  • Yazici M, Sözübir S, Kilicoglu G (1998) Three-dimensional anatomy of the pelvis in bladder exstrophy: description of bone pathology by using three-dimensional computed tomography and its clinical relevance. J Pediatr Orthop 18:132–135

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Division of Pediatric Radiology, Medical University Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Erich Sorantin MD

  2. Department of Radiology, Hamad General Hospital, P.O. Box 3050, Doha, Qatar

    Sandra Abou Samaan MD

Authors
  1. Erich Sorantin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sandra Abou Samaan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Erich Sorantin MD .

Editor information

Editors and Affiliations

  1. Division of Pediatric Radiology, University Hospital, LKH Graz, Graz, Austria

    Michael Riccabona

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sorantin, E., Abou Samaan, S. (2018). Epispadias-Exstrophy Complex. In: Riccabona, M. (eds) Pediatric Urogenital Radiology. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-319-39202-8_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39202-8_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39200-4

  • Online ISBN: 978-3-319-39202-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation