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Reparación de la extrofia vesical - Recovery

Nombres alternativos

Reparación del defecto congénito en la vejiga; Reparación de la vejiga evertida; Reparación de la vejiga expuesta; Reparación de la extrofia de vejiga

Después del procedimiento:

Después de la cirugía del hueso de la pelvis, será necesario que su hijo esté con un yeso en la parte inferior del cuerpo o un cabestrillo durante 4 a 6 semanas, lo cual ayuda a que los huesos sanen.

Después de la cirugía de la vejiga, su hijo tendrá una sonda que drena la vejiga a través de la pared del estómago (sonda suprapúbica) durante 3 a 4 semanas.

El niño también necesitará manejo del dolor, cuidado de la herida y antibióticos. Los médicos y enfermeras le darán a usted instrucciones acerca de estas cosas antes de salir del hospital.

Debido al alto riesgo de infección, será necesario hacerle a su hijo un análisis de orina y un urocultivo en cada control del niño sano y ante los primeros signos de una enfermedad. Algunos niños toman antibióticos de manera regular para prevenir la infección.

Pronóstico:

El control urinario normalmente sucede después de que se repara el cuello de la vejiga. Esta cirugía no siempre es efectiva y es posible que sea necesario repetirla posteriormente.

Unos pocos niños, incluso habiéndoles repetido la cirugía, no tendrán control de su orina y deben usar cateterismo intermitente para tener control urinario.

  • Reviewed last on: 6/17/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Gearhart JP, Mathews R. Exstrophy-epispadias complex. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 119.

Elder JS. Anomalies of the bladder. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 541.

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