Bladder exstrophy is a disorder that appears at birth, in which the bladder and surrounding organs associated is outside the abdominal wall.
For pregnant women, antenatal regularly and at least one-time ultrasonography (USG) can help look at the possibility of defects in the fetal organs. Thus, if found their disability, then action will be performed can be well planned.
Examination of the signs of these disorders can be done since the baby still in the womb, through ultrasonography (USG). After the baby is born, the diagnosis can also be done with a physical exam.
Repair procedures on bladder exstrophy are generally performed before newborn leaves the hospital. If the surgery is delayed, tests done in preparation is a urine test, blood test, X-ray, and ultrasound.
Symptoms seen in patients with bladder exstrophy depends on the amount of disability found. Abnormalities that can accompany bladder exstrophy are:
- Distance widens the pubic bone.
- The amount of collagen tissue that builds bones, teeth, joints, muscles and skin increases, but reduced bladder muscle.
- The layout of the estuary of the urinary tract in the top of the layout should be.
- Penis size is smaller than normal and/or testicles have not dropped to the scrotum.
- Muara narrow vagina, pussy lips wide, and the estuary of the urinary tract short.
- Narrow anus or located out of the body cavity.
Therapy was done to repair bladder exstrophy is surgery to remove the abdominal organs are exposed to the outside world, to be able to get back into the abdominal cavity.
Surgery is required to:
- Forming control urination.
- Preventing sexual function problems in later life.
- Fixing physical appearance.
- Prevent infection.
Usually, surgery is done a few days after birth. However, the bladder should be large enough to do the surgery. When the bladder is not big enough, surgery may be postponed.
In cases like this, a newborn baby sent home with antibiotics. You will also be taught to keep the bladder in order not to dry.
Causes of bladder exstrophy are not known for certain. However, the physical characteristics contained in this disorder is the result of developmental abnormalities that occur during the growth of the embryo, where the tissue that forms the channel expenses are not replaced by tissue that will form the abdominal muscles.