Long-term Outcomes of Bladder Exstrophy–Epispadias Complex: A Multicenter Study by Indian Association of Pediatric Surgeons

Journal of Indian Association of Pediatric Surgeons 2026 Open access

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Authors: Kirtikumar J. Rathod, Vikesh Agrawal, Ramesh Babu, Himanshu Acharya, Vinay Chandrashekhar, Sanjay S. Rao, Santosh B. Kurbet, Mahantesh V. Patil, Sandip Kumar Rahul, Rupesh Keshri, Pradnya S. Bendre, Shilpa Sharma
+3 more Narendra Babu, Shubhalaxmi Nayak, Sumitra Kumar Biswas
DOI: 10.4103/jiaps.jiaps_339_25
Cited by: 2
References: 38

Abstract

A BSTRACT Background: Bladder exstrophy–epispadias complex (BEEC) requires complex reconstruction, yet long-term comparative outcomes from low- and middle-income countries are limited. Materials and Methods: This Indian Association of Pediatric Surgeons (IAPS) multicenter, retrospective cohort study included 59 patients (2000–2020) stratified into modern staged repair of exstrophy (MSRE, n = 20), complete primary reconstruction of exstrophy (CPRE, n = 35), and radical soft-tissue mobilization (RSTM, n = 4). Outcomes included continence (Likert scale 1–5), bladder capacity, complications, reoperations, QoL, and predictors of continence. Results: The mean continence score was 3.47 ± 0.97 (95% confidence interval [CI]: 3.22–3.73). CPRE (4.15 ± 1.11) and RSTM (4.0 ± 1.29) significantly outperformed MSRE (3.02 ± 0.97) (Bonferroni: P

Fields of Study & Subjects

Urological Disorders and Treatments Pediatric Urology and Nephrology Studies Tissue Engineering and Regenerative Medicine

Publication details

Journal / source
Journal of Indian Association of Pediatric Surgeons
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
31
Issue
2
Pages
230–238
Publication date
16 February 2026
Language
EN