Continent urinary diversion (CUD) for patients with exstrophy–epispadias complex (EEC) can be affected by complications associated with the bowel segment used for the reconstruction. In the largest series to examine CUD in the EEC population to date, Stewart et al. showed a significant increased risk of pelvic or abdominal abscess when colon was used, compared with other bowel segments. Overall though, complications were rare; postoperative ileus and abdominal abscess were the most common.
References
Stewart, D. et al. Pediatric surgical complications of major genitourinary reconstruction in the exstrophy–epispadias complex. J. Ped. Surg. 10.1016/j.jpedsurg.2014.10.036
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Complications associated with urinary diversion for EEC. Nat Rev Urol 12, 3 (2015). https://doi.org/10.1038/nrurol.2014.309
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DOI: https://doi.org/10.1038/nrurol.2014.309