Treatment
Modern therapy is aimed at surgical reconstruction of the bladder and genitalia, most often through a staged approach. The initial surgical management consists of bladder, posterior urethral and abdominal wall closure (with or without osteotomies). Bladder closure may be delayed if the bladder is deemed too small to close. The surgical management epispadius usually occurs at approximately 6–12 months of age. Reconstruction of the bladder neck is typically done at toilet training age (approximately age 4-5), once the child is able to and interested in participating in a bladder retraining program. In very carefully selected patients surgical management may be carried out in a single stage or in combined procedures.
Read more about this topic: Bladder Exstrophy
Famous quotes containing the word treatment:
“I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrongdoing. Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly, I will not give to a woman a pessary to cause abortion. I will keep pure and holy both my life and my art.”
—Hippocrates (c. 460–c. 370 B.C.)
“[17th-century] Puritans were the first modern parents. Like many of us, they looked on their treatment of children as a test of their own self-control. Their goal was not to simply to ensure the child’s duty to the family, but to help him or her make personal, individual commitments. They were the first authors to state that children must obey God rather than parents, in case of a clear conflict.”
—C. John Sommerville (20th century)
“The treatment of the incident of the assault upon the sailors of the Baltimore is so conciliatory and friendly that I am of the opinion that there is a good prospect that the differences growing out of that serious affair can now be adjusted upon terms satisfactory to this Government by the usual methods and without special powers from Congress.”
—Benjamin Harrison (1833–1901)