{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:43:04Z","timestamp":1773124984252,"version":"3.50.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T00:00:00Z","timestamp":1570406400000},"content-version":"vor","delay-in-days":2227,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Objective: To study the problems faced during the surgery and follow-up of modified complete primary repair of exstrophy (CPRE) technique. Initial experience with CPRE and its short- and long-term outcomes with respect to continence status and psychosocial impact are reported. Materials and Methods: A retrospective review of the hospital case records from March 2008 to September 2012 was performed. Data of patients with bladder exstrophy managed by a single paediatric surgeon using modified CPRE technique were analysed. Quality of life and psychosocial impact of the surgery were assessed using Pediatric Quality of Life Inventory (PedsQL 4.0) and compared with those of typical peers. Results: Eight children (age 4 days-12 years) underwent CPRE using modified Mitchell\u2032s technique. Two patients (25%) experienced early postoperative complications, with infection and fistula developing in one each. All the patients were doing well on follow-up, with variable continence rates and good cosmesis. Mean duration of follow-up was 18.5 months (range 6 months-4 years). Five out of seven (71%) children were continent or partially continent. One case was lost to follow-up. PedsQL scores were comparable with those of age-matched peers in all domains except the social functioning domain in 8-12 years age group (83.53 \u00b1 9.70 vs. 77.86 \u00b1 10.22, P &lt; 0.05). Conclusion: Our preliminary results with modified CPRE in neonates and children have been encouraging. No major complications were observed. Continence rate was satisfactory and cosmetic results were good. Though the technique is being practiced at several Indian centres, there is a paucity of comprehensive Indian data on CPRE.<\/jats:p>","DOI":"10.4103\/0970-0358.122015","type":"journal-article","created":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T12:28:31Z","timestamp":1385123311000},"page":"549-554","source":"Crossref","is-referenced-by-count":6,"title":["A retrospective analysis of early experience with modified complete primary repair of exstrophy bladder (CPRE) in neonates and children"],"prefix":"10.1055","volume":"46","author":[{"given":"Santosh B.","family":"Kurbet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dr. Prabhakar Kore Hospital and Medical Research Centre and KLE University\u2032s Jawaharlal Nehru Medical College, Belgaum, Karnataka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gowda P.","family":"Prashanth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. Prabhakar Kore Hospital and Medical Research Centre and KLE University\u2032s Jawaharlal Nehru Medical College, Belgaum, Karnataka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahantesh V.","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. Prabhakar Kore Hospital and Medical Research Centre and KLE University\u2032s Jawaharlal Nehru Medical College, Belgaum, Karnataka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shivaji","family":"Mane","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Grant Medical College and Sir JJ Group of Hospitals, Byculla, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,10,7]]},"reference":[{"key":"key-10.4103\/0970-0358.122015-1","first-page":"95","volume-title":"Surgery insight: Advantages and pitfalls of surgical techniques for the correction of bladder exstrophy","author":"Husmann","year":"2006","journal-title":"Nat Clin Pract Urol"},{"key":"key-10.4103\/0970-0358.122015-2","doi-asserted-by":"crossref","unstructured":"Gearhart JP, Mathews RI. Exstrophy-epispadias complex. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 6 th ed. Philadelphia: Saunders Elsevier; 2012. p. 3325-78.","DOI":"10.1016\/B978-1-4160-6911-9.00124-9"},{"key":"key-10.4103\/0970-0358.122015-3","doi-asserted-by":"crossref","unstructured":"Mushtaq I, Garriboli M, Smeulders N, Cherian A, Desai D, Eaton S, et al. Primary neonatal bladder exstrophy closure- challenging the traditions. J Urol 2013 Jul 18.(E-pub Ahead of Print)","DOI":"10.1016\/j.juro.2013.07.020"},{"key":"key-10.4103\/0970-0358.122015-4","first-page":"2431","volume-title":"Complete primary repair of bladder exstrophy: Complications and management","author":"Gearhart","year":"2001","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-5","first-page":"117","volume-title":"Total correction of bladder exstrophy- our experience in 37 patients","author":"Ray","year":"2002","journal-title":"Indian J Urol","ISSN":"https:\/\/id.crossref.org\/issn\/0970-1591","issn-type":"print"},{"key":"key-10.4103\/0970-0358.122015-6","first-page":"298","volume-title":"Quantified outcome for patients with bladder exstrophy","author":"Kanojia","year":"2013","journal-title":"J Pediatr Urol"},{"key":"key-10.4103\/0970-0358.122015-7","first-page":"1415","volume-title":"Complete primary repair of exstrophy","author":"Grady","year":"1999","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-8","first-page":"329","volume-title":"The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity","author":"Varni","year":"2003","journal-title":"Ambul Pediatr"},{"key":"key-10.4103\/0970-0358.122015-9","first-page":"382","volume-title":"Exstrophy-epispadias complex- Issues beyond the initial repair","author":"Mahajan","year":"2012","journal-title":"Indian J Urol","ISSN":"https:\/\/id.crossref.org\/issn\/0970-1591","issn-type":"print"},{"key":"key-10.4103\/0970-0358.122015-10","first-page":"160","volume-title":"Bilateral anterior pubic osteotomy in bladder exstrophy repair: Report of increasing success","author":"Chiari","year":"2001","journal-title":"Pediatr Surg Int"},{"key":"key-10.4103\/0970-0358.122015-11","first-page":"1615","volume-title":"Long-term follow up of complete primary repair of exstrophy: The Seattle experience","author":"Shnorhavorian","year":"2008","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-12","first-page":"1665","volume-title":"Prospective follow up in patients after complete primary repair of bladder exstrophy","author":"Gargollo","year":"2008","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-13","first-page":"1619","volume-title":"Results of bladder neck reconstruction after newborn complete primary repair of exstrophy","author":"Gearhart","year":"2007","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-14","first-page":"1041","volume-title":"Complete primary repair of bladder exstrophy: A single institution referral experience","author":"Schaeffer","year":"2011","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-15","first-page":"1674","volume-title":"Early outcome following complete primary repair of bladder exstrophy in the newborn","author":"Borer","year":"2005","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-16","first-page":"424","volume-title":"Alternative management of bladder exstrophy","author":"Gobet","year":"2009","journal-title":"Curr Opin Urol"},{"key":"key-10.4103\/0970-0358.122015-17","first-page":"172","volume-title":"Anxiety disorders in children with the epispadias-exstrophy complex","author":"Reiner","year":"2006","journal-title":"Urology"},{"key":"key-10.4103\/0970-0358.122015-18","first-page":"1924","volume-title":"Health related quality of life in adolescents with bladder exstrophy- epispadias as measured by the child health questionnaire-child form 87","author":"Schaeffer","year":"2012","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.122015-19","first-page":"559","volume-title":"A new technique for repair of exstrophy-epispadias complex","author":"Kulkarni","year":"2002","journal-title":"Pediatr Surg Int"},{"key":"key-10.4103\/0970-0358.122015-20","first-page":"43","volume-title":"The management of bladder exstrophy: Indian scenario","author":"Bhatnagar","year":"2011","journal-title":"J Indian Assoc Pediatr Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0971-9261","issn-type":"print"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0970-0358.122015.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T03:22:30Z","timestamp":1647487350000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0970-0358.122015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":20,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,10,7]]},"published-print":{"date-parts":[[2013,9]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-0358.122015","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}