Turn-in and epispadias repair as the first step of 2-stage bladder exstrophy repair - A preliminary report

The authors aim to evaluate the safety and efficacy of the Turn-in and Epispadias Repair (TIER) as the initial step in a two-stage bladder exstrophy repair. In a preliminary study involving eleven male infants, the procedure demonstrated promising outcomes with no significant complications, and a substantial proportion of patients successfully completed the second stage of repair. The findings suggest that this approach allows for bladder growth and safe ureteric reimplantation.