bladder exstrophy/testosterone

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Low-dose Human Chorionic Gonadotropin Stimulation Test as a Prognostic Incontinent Indicator in Boys With Bladder Exstrophy-epispadias Complex.

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OBJECTIVE To investigate the effect of low-dose human chorionic gonadotropin (HCG) administration on structural changes in the lower urinary tract in boys with urinary incontinence in the setting of bladder exstrophy-epispadias complex (BEEC). METHODS We prospectively evaluated 30 patients (median

Complete repair of bladder exstrophy in the newborn: complications and management.

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OBJECTIVE Complete repair of bladder exstrophy in the newborn includes bladder, and posterior and penile urethral closure, along with epispadias repair and abdominal wall closure without bladder neck reconstruction. While reports have shown the need for early reimplantation of the ureters in 50% of

The use of human chorionic gonadotropin (HCG) for penile reconstruction in bladder exstrophy and total epispadias patients.

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OBJECTIVE The effect of intramuscular human chorionic gonadotropin (HCG) administration on penile enlargement before genital surgery, its influence on penile skin histology and testicular descent were investigated. METHODS We examined 45 male patients (median age, 8 months; range 3-28) with total

The newborn exstrophy bladder inadequate for primary closure: evaluation, management and outcome.

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OBJECTIVE The surgical approach to the small newborn exstrophy bladder inadequate for primary closure remains undetermined. Various methods for long-term management have been implemented. We evaluated our experience with late primary closure of the small exstrophied bladder template. METHODS Our

Delayed complete repair of exstrophy with testosterone treatment: an alternative to avoid glans complications?

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OBJECTIVE Since 1999, complete primary repair of exstrophy has represented a valid alternative in the treatment of exstrophy patients, offering one- stage reconstruction for all components of this malformation in newborns. The vast majority of cases are currently approached within 48/72 h of life,

Y chromosome aberration in a patient with cloacal-bladder exstrophy-epispadias complex: an unusual finding.

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Chromosome aberrations or genetic syndromes associated with cloacal-bladder exstrophy complex have rarely been reported. The aim of this report is to describe a 14 year-old female Brazilian patient with a complex urogenital malformation, short stature, lack of secondary se-xual characteristics and Y

The failed complete repair of bladder exstrophy: insights and outcomes.

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OBJECTIVE We describe the complications of complete repair and their management. METHODS A total of 19 patients were referred after failed complete repair. Total dehiscence occurred in 6 males, major bladder prolapse in 3, minor prolapse in 3, pubic separation in 1, impassable stricture in 1, and

The Tunica Vaginalis Flap as an Adjunct to Epispadias Repair: A Preliminary Report.

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OBJECTIVE To report our preliminary institutional experience of incorporating a tunica vaginalis flap (TVF) as an adjunct into primary or secondary epispadias repair. METHODS A prospectively maintained institutionally approved database of exstrophy-epispadias complex patients was used to identify

Fertility and sexual dysfunction issues in adults with genitourinary congenital anomalies.

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As growing numbers of adolescents with a history of congenital genitourinary anomalies successfully enter adulthood, their spectrum of urologic concerns broadens to include sexual function and reproduction. In hypospadias repair, preoperative testosterone was found to reduce rates of postoperative

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