Abstract | BACKGROUND:
Bladder exstrophy is a severe congenital defect that requires a multidisciplinary treatment approach. Soft tissue repair may be successful during the first few days after birth, but a combination of pelvic osteotomies and bladder reconstruction is necessary later in life. The combination of externally fixed anterior and posterior osteotomies has biomechanical advantages over previous techniques for achieving primary bladder closure. OBJECTIVES: METHODS: RESULTS: All four patients had successful bladder repair with no dehiscence; two of them achieved partial continence, and bladder neck reconstruction is planned for the other two. Three of the four patients sustained neurologic injury; two completely recovered, and the third continues to suffer from right drop foot. The average follow-up was 39 months (range 10-60 months). CONCLUSIONS:
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Authors | Eitan Segev, Elias Ezra, Yosef Binyamini, Shlomo Wientroub, Jacob Ben-Chaim |
Journal | The Israel Medical Association journal : IMAJ
(Isr Med Assoc J)
Vol. 6
Issue 12
Pg. 749-52
(Dec 2004)
ISSN: 1565-1088 [Print] Israel |
PMID | 15609888
(Publication Type: Case Reports, Journal Article)
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Topics |
- Bladder Exstrophy
(surgery)
- Child, Preschool
- Female
- Follow-Up Studies
- Humans
- Infant
- Male
- Osteotomy
(methods)
- Pelvis
- Treatment Outcome
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