{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:32:36Z","timestamp":1784784756407,"version":"3.55.0"},"reference-count":11,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"\n Introduction:<\/jats:title>\n Bladder exstrophy is a major malformation in paediatric urology. The treatment results are not still completely satisfactory, and their management is an enormous problem in Sub-Saharan Africa. While outlining our challenges, we report our management experience to improve our results.<\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods:<\/jats:title>\n We retrospectively reviewed the records of patients undergoing surgical repair of classic bladder exstrophy at our department between January 2010 and December 2019 (10 years). Epidemiological, clinical, therapeutic and evolution data were analysed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Twenty-five children with classic bladder exstrophy were treated. Our series included 16 boys and 9 girls with a sex ratio of 1.7. Age ranged from 0 day to 6 years. Twenty-five bladder closures were performed, associated to pelvic osteotomy in 11 cases. Epispadias repair was performed on nine boys. Eight cases of bladder neck reconstruction and three cases of bladder enlargement were performed. We observed six bladder fistulas, four wound dehiscence, of which three partial, two parietal suppurations and six cases of urinary tract infection. Eight children had a continence of 1\u20132 h.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The treatment of bladder exstrophy in our context is still limited because of financial difficulties encountered by the population and the insufficient technical platform in our country.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_167_20","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T11:18:01Z","timestamp":1655983081000},"page":"167-170","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bladder Exstrophy"],"prefix":"10.67481","volume":"19","author":[{"given":"Kouam\u00e9 Soroboua","family":"Agbara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier Martial","family":"Moulot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela Adjoba","family":"Ehua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Marie","family":"Konan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy Serge Yapo","family":"Kouam\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Traor\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghislain Anon","family":"Anon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idalia","family":"Ajoumissi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josaphat","family":"Konvolbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roumanatou Sanni","family":"Bankol\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-10-20240829","doi-asserted-by":"crossref","first-page":"104","DOI":"10.5173\/ceju.2013.01.art31","article-title":"Complications after primary bladder exstrophy closure-role of pelvic osteotomy","volume":"66","author":"Baka-Ostrowska","year":"2013","journal-title":"Cent European J Urol"},{"key":"R2-10-20240829","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1097\/01.ju.0000139471.04230.18","article-title":"Continence and classic bladder exstrophy treated with staged repair","volume":"172","author":"Shaw","year":"2004","journal-title":"J Urol"},{"key":"R3-10-20240829","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1016\/j.juro.2011.07.022","article-title":"Register based study of bladder exstrophy-epispadias complex: Prevalence, associated anomalies, prenatal diagnosis and survival","volume":"186","author":"Jayachandran","year":"2011","journal-title":"J Urol"},{"key":"R4-10-20240829","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.urology.2007.11.166","article-title":"Genital and reproductive function in males after functional reconstruction of the exstrophy-epispadias complex\u2014long-term results","volume":"72","author":"Ebert","year":"2008","journal-title":"Urology"},{"key":"R5-10-20240829","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.jpurol.2011.09.007","article-title":"The modern staged repair of classic bladder exstrophy: A detailed postoperative management strategy for primary bladder closure","volume":"8","author":"Stec","year":"2012","journal-title":"J Pediatr Urol"},{"key":"R6-10-20240829","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.juro.2013.07.020","article-title":"Primary bladder exstrophy closure in neonates: Challenging the traditions","volume":"191","author":"Mushtaq","year":"2014","journal-title":"J Urol"},{"key":"R7-10-20240829","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jpurol.2010.06.005","article-title":"Safety and efficacy of spica casts for immobilization following initial bladder closure in classic bladder exstrophy","volume":"7","author":"Arlen","year":"2011","journal-title":"J Pediatr Urol"},{"key":"R8-10-20240829","doi-asserted-by":"crossref","first-page":"1671","DOI":"10.1016\/j.juro.2008.03.100","article-title":"Complications of primary closure of classic bladder exstrophy","volume":"180","author":"Schaeffer","year":"2008","journal-title":"J Urol"},{"key":"R9-10-20240829","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jpurol.2008.11.005","article-title":"Our initial experience with the technique of complete primary repair for bladder exstrophy","volume":"5","author":"Kibar","year":"2009","journal-title":"J Pediatr Urol"},{"key":"R10-10-20240829","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.jpurol.2004.09.001","article-title":"The place of pelvic osteotomy in the modern era of bladder exstrophy reconstruction","volume":"1","author":"Baird","year":"2005","journal-title":"J Pediatr Urol"},{"key":"R11-10-20240829","doi-asserted-by":"crossref","first-page":"2563","DOI":"10.1016\/j.juro.2011.01.024","article-title":"Bladder neck reconstruction is often necessary after complete primary repair of exstrophy","volume":"185","author":"Gargollo","year":"2011","journal-title":"J Urol"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_167_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:21Z","timestamp":1782953361000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_167_20"}},"subtitle":["Modern Staged Repair Experience in our Institution"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_167_20","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}