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Bladder Exstrophy clinical trials

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NCT ID: NCT04935918 Recruiting - Bladder Exstrophy Clinical Trials

EVALUATION OF THE SAFETY AND EFFICACY OF ADJUSTABLE CONTINENCE THERAPY BALLOONS IN BLADDER EXSTROPHY AND INCONTINENT EPISPADIAS PATIENTS

ACT
Start date: April 16, 2021
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate the effectiveness and safety of a minimally invasive surgical procedure with ACT (Adjustable Continence Therapy) balloons implantation for the treatment of urinary incontinence in children with bladder exstrophy or isolated epispadias. The ACT therapy consists of two small adjustable silicone balloons connected with a tubing to a port, surgically placed around the bladder neck, one on each side of the urethra.

NCT ID: NCT04626167 Recruiting - Clinical trials for Chronic Kidney Diseases

Concomitant Renal and Urinary Bladder Allograft Transplantation

Start date: June 1, 2021
Phase: Early Phase 1
Study type: Interventional

The purpose of this study is to establish if concomitant renal and vascularized urinary bladder allograft transplantation is feasible.

NCT ID: NCT03061084 Recruiting - Spina Bifida Clinical Trials

Prospective Cohort of Transitional Urology Patients

Start date: August 27, 2015
Phase:
Study type: Observational

A transitional Urology database was created in parallel with National Spina Bifida registry to follow patients with complex congenital urogenital anomalies and be able to prospectively evaluate them. The investigators obtained the standardized questionnaires to collect long-term data regarding patients' genitourinary status including urine and fecal continence, sexuality, fertility, and pelvic health.

NCT ID: NCT02075216 Recruiting - Clinical trials for Urinary Incontinence

Transurethral Myoblast Injection for Urinary Incontinence in Children With Bladder Exstrophy

Start date: December 2013
Phase: Phase 1/Phase 2
Study type: Interventional

Muscle precursor cells constantly regenerate striated muscles, and include the quiescent satellite cells located beneath the basal lamina of skeletal myofibers, which are responsible for repair of the terminally differentiated striated muscle tissue. Transurethral implantation of autologous myoblasts may represent an improved alternative to synthetic bulking agents, with the unique ability to compensate for the deficient muscle fibers in the urethral sphincter. Clinical studies of cell therapy based treatment of sphincter insufficiency, using muscle derived stem cell transplantation was carried out in patients with stress incontinence revealed and confirmed the ability of cell therapy to improve the structure and contractile function of the sphincter. In this study autologous heterotopic myoblasts will be transurethrally injected in patients with bladder extrophy epispadias complex who remained incontinent after staged bladder reconstruction and bladder neck reconstruction. The aim of this study is to investigate the potential therapeutic effects of autologous myoblast injection for the treatment of children presenting with urinary incontinence after modern staged repair and bladder neck reconstruction of extrophy-epispadias complex as well as studying the safety, efficacy and durability of the procedure, and health related quality of life.