Authors

1Mª del Carmen Fernández Tuñas, 1Margarita Turnes Paredes, 1Mª del Carmen Ces Tarrío, 2Mª Luz Couce Pico, 2Alejandro Pérez Muñuzuri

Position

¹Enfermera. Servicio de Neonatología del Complejo Universitario de Santiago de Compostela.²Médico Adjunto del Servicio de Neonatología del Complejo Universitario de Santiago de Compostela.

Contact address

Mª del Carmen Fernández Tuñas. Viceso-Pousada, 25. 15839 Brión (La Coruña).

Contact email: mctunas@yahoo.es

Abstract

Vesical Exstrophy (VE) is a rare congenital alteration which consists in the protrusion of the bladder through the abdominal wall, and it requires a complex and fast surgical intervention, often by a multidisciplinary team. This is a rare disease, which appears in one out of  35,000-40,000 newborns, and it is more frequent in males. Even though its etiology is not very well defined, there seems to be a genetic predisposition. It occurs due to a defect of migration in the infraumbilical mesenchyma cells, which will lead to the formation of the lower abdominal wall, genital tubercles and pubic branches. The treatment for VE is surgical, and often in various stages. One of the problems in these patients is sphincter control, once they have undergone surgery. Children who undergo reconstructive surgery at the time of birth will achieve better results regarding urinary incontinence, which is one of the great problems. Nursing care before and after surgery is very important for the recovery of these patients, because they must remain immobile during several days in order to achieve an adequate bladder closure.

Keywords:

Vesical Exstrophy; newborn; genetic predisposition; epispadias; Urology nursing care

Versión en Español

Título:

Cuidados enfermeros en la extrofia vesical neonatal