Matthew's Vlog 6 My Rare Birth Defect Explained Bladder Exstrophy And Epispadias скачать в хорошем качестве

Matthew's Vlog 6 My Rare Birth Defect Explained Bladder Exstrophy And Epispadias

In this Vlog i chat a bout My Rare Birth Defect explained Bladder Exstrophy And Epispadias I was was Born with Bladder Exstrophy and epispadias this is when the bladder is on the out side of the body when i was born Occurring at a rate between 1 in 10,000 to 1 in 50,000 [2] with a male-to-female ratio of 2.3-6:1 The classic manifestation of bladder exstrophy presents with: A defect in the abdominal wall occupied by both the exstrophied bladder as well as a portion of the urethra A flattened puborectal sling Separation of the pubic symphysis Shortening of the pubic ramii External rotation of the pelvis. Treatment Modern therapy is aimed at surgical reconstruction of the bladder and genitalia. Throughout time numerous approaches have been developed, but today only two remain with any frequency: In the Modern Staged Repair of Exstrophy (MSRE) the initial step is closure of the abdominal wall, often requiring a pelvic osteotomy. This leaves the patient with penile epispadias and urinary incontinence. At approximately 2–3 years of age the patient then undergoes repair of the epispadias after testosterone stimulation. Finally, bladder neck repair usually occurs around the age of 4–5 years, though this is dependent upon a bladder with adequate capacity and, most importantly, an indication that the child is interested in becoming continent. In the Complete Primary Repair of Exstrophy (CPRE) the bladder closure is combined with an epispadias repair, in an effort to decrease costs and morbidity.[9] This technique has, however, led to significant loss of penile and corporal tissue, particularly in younger patients.[10] Complications Even with successful surgery, patients may have long-term complications.[14] Some of the most common include: Vesicoureteral reflux Bladder spasm Bladder calculus Urinary tract infections Epispadias is a rare type of malformation of the penis in which the urethra ends in an opening on the upper aspect of the penis It occurs in around 1 in 120,000 male births Epispadias is an uncommon and partial form of a spectrum of failures of abdominal and pelvic fusion in the first months of embryogenesis known as the exstrophy - epispadias complex. While epispadias is inherent in all cases of exstrophy it can also, much less frequently, appear in isolation as the least severe form of the complex spectrum. It occurs as a result of defective migration of the genital tubercle primordii to the cloacal membrane, and so malformation of the genital tubercle, at about the 5th week of gestation. Most cases involve a small and bifid penis, which requires surgical closure soon after birth, often including a reconstruction of the urethra. Where it is part of a larger exstrophy, not only the urethra but also the bladder (bladder exstrophy) Treatment The main treatment for isolated epispadias is a comprehensive surgical repair of the genito-urinary area usually during the first 7 years of life, including reconstruction of the urethra, closure of the penile shaft and mobilisation of the corpora. The most popular and successful technique is known as the modified Cantwell-Ransley approach. In recent decades however increasing success has been achieved with the complete penile disassembly technique despite its association with greater and more serious risk of damage. My Name is Matthew. And i am 30 years old, I am an Australian vlogger how has just stared his vloging On Youtube come with this Aussie and i well show you around and what i am up to. So Please Comment And Like This Vlog And Subscribe And Show Your Friends Song: The Vlog Song By: Matthew Wrigley (my Self)