Bladder exstrophy
- 1. Bladder Exstrophy DR. LINDA DEL VECCHIO GILBERT (MATT GAVIN)
- 2. Trifecta of Bladder Exstrophy: Epispadias: Opening of urethra is above normal placement on the glans of the penis. Bladder Exstrophy: Open, inside-out bladder with inner surface exposed and the dorsal urethra on the lower abdominal wall. Cloacal Exstrophy: Extrophy of both bladder and large intestine through abdominal wall defect.
- 3. Signs of Bladder Exstrophy Separation of Pelvic Bone Low set Umbilicus Anteriorly Displaced Anus Genitalia Defects Inguinal Hernia Constant urine seepage
- 4. Male/Female Differences Male Epispadias Upward Curvature of Penis Undescended Testes Inguinal Hernia Hypospadias of penis (Cloacal) Female Epispadias Bifid Clitoris Small Labia Minora Separated Labia (Cloacal) Absent Vagina (Cloacal) Bifid Uterus (Cloacal) Separation of Clitoris (Cloacal)
- 5. Pelvic Osteotomy Surgical Closure of Lower Section of Bladder: Aids in closing the abdominal wall/blader Partial tightening of the bladder neck Bilateral uteral-reimplantation to correct reflux. Often performed 48-72 hours after birth. Usually delayed for at most 2 months after birth. Sub urethral collagen injections may help bladder control. Mitrofanoff appendicecal stoma.
- 6. Nursing Management Limit Trauma to the Area Monitor for Infection Apply nonadherant film dressing. Immobilize for 2-4 weeks (Bryant’s Traction). Epidural/PCA pain management Wound Care Monitor Urine Output Psychosocial Assisstance
- 7. Fin