SURGEONS OF THE NATIOANAL MEDICAL RESEARCH ONCOLOGICAL CENTRE SAVE A TWO-YEAR-OLD GIRL WITH BLADDER EXSTROPHY

N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology (SRIUIR) – the branch of the FSBI “National Medical Research Radiological Centre” of the Ministry of Health of the Russian Federation has successfully performed a complicated operation on a two-year-old girl from Ivanovo Region. The young patient suffered from the rarest congenital malformation – bladder exstrophy, requiring high-tech and timely intervention.

Bladder exstrophy is a severe congenital disorder in which the bladder is open to the outside: its anterior wall is missing and the pelvic bones pathologically diverge to the sides.

This serious condition is almost twice as common in boys as in girls and, without surgery, leads to persistent urinary leakage, the threat of serious infections and impaired quality of life from the earliest years.

In another clinic they tried to help the girl twice, but without success: due to the divergence of the bosom bones after the operation, the tissues remained tense and the wound diverged,” says Jamalutdin Aliyev, the girl’s attending physician. – The mother started looking for a specialized center with experience in such operations and found our N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology.

When planning the treatment, the specialists took into account all the peculiarities of the disease. The girl needed not only bladder closure, but also correction of the pelvic bone position, without which it would have been impossible to achieve the desired result.

The operation was performed by Professor Yuri Rudin, head of the pediatric urology group at the Research Institute of Urology, Yuri Chekeridi, a visiting orthopedic traumatologist and deputy chief physician of the Moscow Regional Children’s Clinical Trauma and Orthopedic Hospital, and Jamalutdin Aliyev, the attending physician.

“We performed a comprehensive treatment: bladder re-closure, bilateral inguinal herniorrhaphy, bilateral ureteral reimplantation, bladder neck plasty with bilateral osteotomy (pelvic bone crossing), and pelvic bones fusion.

Before the operation, the distance between the bones was 8 cm, but we reduced it to 2 cm. The operation lasted 5 hours and was successful,” says Jamalutdin Aliyev.

Today the baby feels well. Specialists make optimistic forecasts – in a month the plaster will be removed and the child will be able to return to active, healthy life, as it should be for a child of her age.

“The result of the surgery is a real victory. Now the baby girl’s life is in no danger and she will be able to grow without restrictions like her healthy peers. We hope for bladder growth and urine retention. Ahead are new discoveries, first steps, dreams and accomplishments. Soon the girl will return home to start her new life full of possibilities,” says the attending physician proudly.