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  • Title: [Bladder exstrophy. Transformation from an external diversion of the urine to an internal diversion].
    Author: Cendron J, Melin Y, Vasquez MP.
    Journal: Chir Pediatr; 1980; 21(4):293-5. PubMed ID: 7408089.
    Abstract:
    It is possible to transform an external diversion (transcolic cutaneous ureterostomy) into an internal one (uretero-sigmoido-sigmoidostomy) in cases of bladder exstrophy which have not been reconstructed. This must not be done at too early an age (not before 7) and only under certain conditions : good renal function, normal upper urinary tract, no sigmoido-ureteral reflux good anal sphincter. Such an operation radically changes the life of the exstrophic who was previously handicapped by a collecting apparatus. One must assure a careful long term follow-up. The major details of technique and the results of 20 cases are described.
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