Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Preoperative Care of Polypoid Exposed Mucosal Template in Bladder Exstrophy: The Role of High-Barrier Plastic Wraps in Reducing Inflammation and Polyp Size Publisher Pubmed



Sabetkish N1 ; Sabetkish S1 ; Kajbafzadeh AM1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Pediatric Urology and Regenerative Medicine Research Center, Section of Tissue Engineering and Stem Cells Therapy, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Source: International Braz J Urol Published:2018


Abstract

Objective: To assess the role of high-barrier plastic wrap in reducing the number and size of polyps, as well as decreasing the inflammation and allergic reactions in exstrophy cases, and to compare the results with the application of low-barrier wrap. Materials and Methods: Eight patients with bladder exstrophy-epispadias complex (BEEC) that had used a low density polyethylene (LDPE) wrap for coverage of the exposed polypoid bladder in preoperative care management were referred. The main complaint of their parents was increase in size and number of polyps. After a period of 2 months using the same wrap and observing the increasing pattern in size of polyps, these patients were recommended to use a high-barrier wrap which is made of polyvinylidene chloride (PVdC), until closure. Patients were monitored for the number and size of polyps before and after the change of barriers. The incidence of para-exstrophy skin infection/inflammation and skin allergy were assessed. Biopsies were taken from the polyps to identify histopathological characteristics of the exposed polyps. Results: The high barrier wrap was applied for a mean ± SD duration of 12±2.1 months. Polyps' size and number decreased after 12 months. No allergic reaction was detected in patients after the usage of PVdC; three patients suffered from low-grade skin allergy when LDPE was applied. Also, pre-malignant changes were observed in none of the patients in histopathological examination after the application of PVdC. Conclusion: Polyps' size and number and skin allergy may significantly decrease with the use of a high-barrier wrap. Certain PVdC wraps with more integrity and less evaporative permeability may be more exstrophy-friendly. © 2017, Brazilian Society of Urology.
Related Docs
1. Early Detection of Deep Wound Infection in Bladder Exstrophy and Hypospadias Using a Novel Intervention, Journal of Wound Care (2018)
2. Single-Staged Male Bladder Exstrophy–Epispadias Complex Reconstruction With Pubic Bone Adaptation Without Osteotomy: 15-Year Single-Center Experience, International Urology and Nephrology (2021)
3. Ureteric-Urethral Engraftment As a New Surgical Technique for Management of Incontinence in Bladder Exstrophy Complex: A Retrospective Cohort, International Journal of Surgery (2017)
4. Bladder Herniation As an Auto-Augmentation Technique in Bladder Exstrophy: Initial Experience in Patients With Small Bladder Plate, Urology (2020)
5. Comparing the Bulking Effect of Calcium Hydroxyapatite and Deflux Injection Into the Bladder Neck for Improvement of Urinary Incontinence in Bladder Exstrophy–Epispadias Complex, International Urology and Nephrology (2017)
6. Insights and Outcomes of Single-Staged Repair of Female Bladder Exstrophy–Epispadias Complex Without Osteotomy: 15 Years Experience of a Single Institution, Journal of Pediatric Urology (2022)
Experts (# of related papers)
Abdolmohammad Kajbafzadeh (6)