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J Urol. 1996 Feb;155(2):689-93.

A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy.

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  • 1Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.

Abstract

PURPOSE:

We describe a new combined horizontal and vertical pelvic osteotomy procedure for bladder exstrophy.

MATERIALS AND METHODS:

A total of 36 patients with the bladder exstrophy complex underwent this procedure during a 3-year period (8 primary and 18 secondary bladder closures, and 6 at bladder neck reconstruction).

RESULTS:

There were no instances of dehiscence and only a minor bladder prolapse in 1 patient with cloacal exstrophy. Two patients had a transient femoral nerve palsy and there was 1 superficial pin infection. Urological complications included symptomatic urinary tract infections in 5 patients, acute epididymitis in 1 and bladder calculi in 2.

CONCLUSIONS:

This new osteotomy procedure is of great benefit in initial or repeat closure of bladder exstrophy and may help in eventually achieving continence.

PMID:
8558706
[PubMed - indexed for MEDLINE]
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