Abstract:
To date, 11.3% of newborns are born with various developmental anomalies,
and more than 40% of them are due to disorders and anomalies of the
genitourinary system (1,3,5, etc.). the norm, complicated by urinary
incontinence, is 8.0%. Comprehensive treatment of bladder malformations
complicated by urinary incontinence in children has long attracted the attention
of practicing surgeons and is still on the agenda as one of the most urgent
problems of pediatric surgery (2,5, etc.). In particular, the results of surgical
treatment of cases of total and subtotal epispadias in combination with bladder
exstrophy are unsatisfactory. According to the leading specialists of Russian
clinics, including N. E. Savchenko and V. M. Derzhavin, in 1978, complete and
complete urinary retention after sphincteroplasty performed according to V. M.
Derzhavin, in cases of contacting the clinic with total and subtotal epispadias in
45% of cases and 28-32% of cases of partial seizures. Statistics show that 2
out of 10 patients who underwent sphincteroplasty according to V. M.
Derzhavin had no benefit at all, and 1 out of 10 had only a partial goal.
Extensive studies conducted in our republic on these operations have shown
that there are good and satisfactory results of these operations - only 60.0%
All these indicators still have their problems in this regard, shows that she has
not found a solution.
