Outcome In Adulthood Of Patients Who Underwent Surgery For Bladder Exstrophy In Childhood: 2 Cases

Bladder exstrophy-epispadias complex (BEEC) is a rare malfunction of the urinary system, and its severity varies depending on whether it is partial or complete. Treatment is always by surgery and in two stages: (1) a neonatal bladder closure procedure and (2) bladder enlargement when the patient is about 4 years old, which often involves multiple steps, including reconstruction of the bladder neck. It may be necessary to resort to an urinary tract diversion. Genital repair is necessary for boys presenting epispadias, often associated with a tortuous urethra and a short penis. The surgical steps are many and complicated, but the objective is to allow these children to become continent, while preserving their upper urinary system and ensuring the best possible quality of life in terms of their future sexuality.