Bladder Exstrophy with Successful Initial Closure.
- Author:
Dong Hyoung LEE
1
;
Kwang Sae KIM
Author Information
1. Department of Urology, Keimyung University School of Medicine, Daegu, Korea. kskim@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Bladder exstrophy;
Staged repair;
Osteotomy;
Paraexstrophy skin flap
- MeSH:
Abdominal Wall;
Bladder Exstrophy*;
Humans;
Incidence;
Infant;
Live Birth;
Male;
Membranes;
Osteotomy;
Penis;
Skin;
Urinary Bladder*
- From:Korean Journal of Urology
2001;42(10):1125-1129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bladder exstrophy is a rare condition with an incidence of between 1 in 10,000 and 1 in 50,000 live births and the male-to-female ratio ranges 2.3:1 to 6:1. The basic defect of bladder exstrophy is an abnormal overdevelopment of the cloacal membrane, preventing medial migration of the mesenchymal tissue and proper lower abdominal wall development. Although there are some recent successful reports of the one-stage repair of bladder exstrophy that involves complete primary repair of exstrophy and total disassembly of the epispadiac penis, staged repair still represents the most common operation for correction of this anomaly. A successful initial closure of the infant born with bladder exstrophy is the single most important determinant of continence in the staged repair of exstrophy patient. We report a case of bladder exstrophy with successful initial closure of bladder using posterior iliac osteotomy and paraexstrophy skin flap.
