A critical appraisal of continence in bladder exstrophy: Long-term outcomes of the complete primary repair

Complete primary repair of exstrophy can achieve continence without additional operations in a subset of patients. Some patients, however, may not achieve continence until adolescence, underscoring the need for long-term urologic follow-up in patients with bladder exstrophy.Table. Comparison of continent (C) and incontinent (IC) patients.TotalC (N = 12)IC (N = 17)P-valueAge at OR (days)Mean (SD)1.8 (1.8)2.4 (1.8)0.4527Osteotomy (%)Yes3 (25)7 (41)0.4475No8 (67)9 (53)Unspecified1 (8)1 (6)Complications (%)Yes2 (17)5 (29)1No10 (83)12 (71)Age at last follow-upMean (SD)167 (49.3)134 (42.3)0.0536Urodynamic findingsCompliance (ml/cm H2O)16.0 (5.4)8.5 (3.8)0.0041% Predicted capacity (SD)75.8 (45.4)38.0 (15.4)0.0047Age at last follow-up (months)Mean (SD)167 (49.3)134 (42.3)0.0536Statistically significant P-values denoted in bold.OR, operation.