Impact of concomitant hernia repair at the time of complete primary repair of bladder exstrophy

CIH at the time of CPRE is safe, with no significant inguinal complications noted. Subsequent inguinal operations were more often required in the cohort of patients not receiving CIH at the time of CPRE, including one patient presenting with incarceration. Thus, CIH appears to reduce need for subsequent inguinal operations when performed at the time of bladder closure. Our study adds to other authors' claims that CIH should be attempted at the time of bladder closure. This study is limited by the retrospective nature of the review and differences in follow-up times between groups. Simultaneous inguinal hernia repair at the time of initial exstrophy repair is safe and associated with decreased incidence of subsequent inguinal surgery. Such an approach should be undertaken during initial bladder closure.Table. CIH at the time of CPRE, a comparison of patient demographics and need for subsequent hernia repair.CIH at CPRE (N = 18)No CIH at CPRE (N = 25)Mean age at repair, days (SD)7.9 (14.3)1.7 (1.4)Gender Male (%)16 (89)11 (44) Female (%)2 (11)14 (56)Subsequent inguinal hernia No (%)16 (89)16 (64) Yes (%)2 (11)9 (36)Age at IHR, months, median (range)17 (8-26)3 (10-28)Mean follow-up, months (range)42 (8-140)152 (15-245)