Status:

COMPLETED

Navigation of the Pelvic Floor in Bladder Exstrophy Using Pre-operative MRI

Lead Sponsor:

Johns Hopkins University

Conditions:

Bladder Exstrophy

Eligibility:

All Genders

Up to 7 years

Phase:

NA

Brief Summary

The aim of this study is to investigate the use of intraoperative stereotactic imaging of the pelvic floor musculature during closure of bladder exstrophy.

Detailed Description

Much of the long-term success of classic bladder exstrophy closures depends on the initial closure. Several studies have demonstrated that a key to successful initial closure involves deep dissection ...

Eligibility Criteria

Inclusion

  • Age 0-7 years
  • Diagnosis of classic bladder exstrophy
  • Scheduled to undergo bladder exstrophy closure by the principal investigator at Johns Hopkins Hospital's Broadway campus.
  • All eligible participants will be children whose parents or legally authorized representatives have already agreed and are being scheduled for osteotomy and bladder exstrophy closure as determined by their pediatric urologist.
  • Parent or legally authorized representative who is, in the opinion of the investigator, reliable and willing to make themselves and patient available for the duration of the study.
  • Parent or legally authorized representative is able to complete and sign the informed consent document.
  • Patient judged by the investigator to have bladders of sufficient size and elasticity to be suitable for immediate closure as evidenced by the PI's assessment of the patient's bladder template \[16\].
  • Patient with cardiopulmonary function sufficient to tolerate general anesthesia as evidenced by the pediatrician's and anesthesiologists assessment of the patient's overall cardio-pulmonary status.
  • Patients requiring ferromagnetic metal objects such as a metal pace maker during the OR procedure.

Exclusion

  • Lack or withdrawal of consent for primary operative procedure.
  • Parent or legally authorized representative who is, in the opinion of the investigator, not reliable or unwilling to make themselves and patient available for the duration of the study.
  • Parent or legally authorized representative who is unable to understand, complete and/or sign the informed consent document. Non-English speaking parents will automatically be excluded if they are unable to read and understand the consent form.
  • Patient who will not undergo osteotomy prior to closure for any reason

Key Trial Info

Start Date :

September 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2020

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT01878500

Start Date

September 1 2012

End Date

December 31 2020

Last Update

December 21 2021

Active Locations (1)

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1

Brady Urological Institute. Johns Hopkins University

Baltimore, Maryland, United States, 21287