Vol. 4 No. 1 (2026): January-March
60-64
2026-03-30
Open Access

Quality of life and functional outcomes after surgical correction of pubic diastasis in children with bladder exstrophy

T.G. Aliev
S.T. Agzamkhodjaev
M.N.Buriev
https://doi.org/10.63417/

Received: 2026-10-05

Published: 2026-03-30

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Abstract

Objective: To assess the functional outcomes and quality of life of children after surgical correction of pubic diastasis in bladder exstrophy.


Materials and Methods: The outcomes of 44 children operated on in 2021-2026 were analysed. Quality of life and satisfaction were assessed by a questionnaire completed by the parents of 41 children, and in 11 older children additionally by the child's own rating; urinary continence, bladder capacity, infection rate and impact on daily life were taken into account.


Results: Fully or mostly satisfied with the operation were 39 of 41 parents (95.2%). Bladder capacity increased from zero baseline values to a median of 38.5 mL on ultrasound and 47 mL on cystography (p < 0.005), continence reached a median of 40 minutes, and urinary tract infections were absent in 84.8% of children. The children's own rating was stricter than the parental one: maximum satisfaction was reported by 36.4% of children versus 75.6% of parents.


Conclusions: Correction of the diastasis improves functional status and the family's perception of the result, yet the children's stricter self-assessment and residual incontinence emphasise the need for long-term follow-up.

Keywords

List of references

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About the Authors

T.G. Aliev
tgafurovich@gmail.com
S.T. Agzamkhodjaev
ast.doctor@gmail.com
M.N.Buriev
murodullo196560@mail.ru

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How to Cite

Quality of life and functional outcomes after surgical correction of pubic diastasis in children with bladder exstrophy. (2026). Herald of the National Children’s Medical Center, 4(1), 60-64. https://doi.org/10.63417/

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