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Bladder exstrophy repair Description:
The first surgery needed is to separate the exposed bladder from the abdominal wall and close the bladder (bladder repair). The bladder neck and urethra are repaired. A flexible, hollow tube (catheter) is left in to drain the urine from the bladder through the abdominal wall.
Because the pelvis bones are separated, the child will also need to have the pelvic bones surgically attached to each other. This surgery may be done with the first surgery or may be delayed for weeks or months.
Indications:
The surgery is recommended for children who are born with exposed and everted (exstrophied) bladders.
What to Expect After:
Surgery is necessary to: - prevent infection that could decrease kidney function
- allow the child to develop normal urinary control
- improve the child's physical appearance
- avoid future problems with sexual function
Some children are unable to develop adequate urinary control and may later need further urinary repair.
Convalescence:
The length of hospitalization depends on how severe the defect is, if there are other problems, and how many stages of surgical correction are needed. Complete healing can take 4 to 6 weeks.
Risks:
Risks for any anesthesia are: Risks for any surgery are: Additional risks may include:
Cost:
The cost of any surgery varies significantly between surgeons, medical facilities, and regions of the country. Patients who need more extensive surgery will require more intensive and expensive treatment.
Surgery charges can be separated into five parts:
1. Surgeon's fee: averages $2,000
2. Anesthesiologist's fee: averages $350 to $400 per hour
3. Hospital charges: basic rate averages $1,500 to $1,800 per day
4. Medication charges: $200 to $400
5. Additional charges: assisting surgeon, treatment of complications, diagnostic procedures (such as blood or Xray exams), medical supplies, or equipment use.
Insurance coverage for surgery expenses depends on many factors and should be explored for each individual instance.
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