Evidence map›Paper›PMID 41958798›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Long-term Outcomes of Bladder Exstrophy-Epispadias Complex: A Multicenter Study by Indian Association of Pediatric Surgeons.

Kirtikumar J Rathod, Vikesh Agrawal, Ramesh Babu, Himanshu Acharya, Vinay Chandrashekhar, Sanjay Rao, Santosh B Kurbet, Mahantesh V Patil, Sandip Kumar Rahul, Rupesh Keshri and 5 more

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Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Kirtikumar J RathodDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Vikesh AgrawalDepartment of Pediatric Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India.
Ramesh BabuDepartment of Pediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Himanshu AcharyaDepartment of Pediatric Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India.
Vinay ChandrashekharDepartment of Paediatric Surgery, Narayana Health, Bengaluru, Karnataka, India.
Sanjay RaoDepartment of Pediatric Surgery, Narayana Health Hospitals, Bengaluru, Karnataka, India.
Santosh B KurbetDepartment of Paediatric Surgery, KAHER's J. N. Medical College, Belagavi, Karnataka, India.
Mahantesh V PatilDepartment of Paediatric Nephrology, KAHER's J. N. Medical College, Belagavi, Karnataka, India.
Sandip Kumar RahulDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
Rupesh KeshriDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
Pradnya S BendreDepartment of Pediatric Surgery, B. J. Wadia Hospital for Children, Mumbai, Maharashtra, India.
Shilpa SharmaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Narendra BabuDepartment of Pediatric Surgery, Indiragandhi Institute of Childhood Health, Bengaluru, Karnataka, India.
Shubhalaxmi NayakDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Sumitra Kumar BiswasDepartment of Pediatric Surgery, NRS Medical College and Hospital, Kolkata, West Bengal, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bladder exstrophy-epispadias complex (BEEC) requires complex reconstruction, yet long-term comparative outcomes from low- and middle-income countries are limited. Materials and Methods: This Indian Association of Pediatric Surgeons (IAPS) multicenter, retrospective cohort study included 59 patients (2000-2020) stratified into modern staged repair of exstrophy (MSRE, Results: The mean continence score was 3.47 ± 0.97 (95% confidence interval [CI]: 3.22-3.73). CPRE (4.15 ± 1.11) and RSTM (4.0 ± 1.29) significantly outperformed MSRE (3.02 ± 0.97) (Bonferroni: Conclusion: CPRE demonstrated the most favorable long-term outcomes, with significantly better continence, higher bladder capacities, fewer reoperations, and superior quality of life compared with MSRE. RSTM yielded encouraging results but requires larger cohorts. This IAPS study identifies early surgery and bladder neck reconstruction as key predictors of success, while underscoring the urgent need for standardized, prospective surveillance of renal, sexual, and reproductive health in BEEC patients and need for longer follow-up.

Indexed as

Exstrophy bladderlong-termmulticenter studyoutcome

Identifiers

PMID41958798
PMCPMC13061498

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