The Experiences of Cloacal and Bladder Exstrophy: 3 Cases.
- Author:
Keum Seob LEE
1
;
Jeong Zoo LEE
;
Yun Ha PAK
;
Jong Byung YOON
Author Information
1. Department of Urology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Exstrophy;
Bladder;
Cloaca
- MeSH:
Abdominal Wall;
Bladder Exstrophy*;
Cloaca;
Female;
Humans;
Ileostomy;
Incidence;
Live Birth;
Male;
Membranes;
Orchiectomy;
Osteotomy;
Parents;
Skin;
Traction;
Urinary Bladder*
- From:Korean Journal of Urology
1994;35(7):793-800
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The pathogenesis of bladder and cloacal exstrophy is an abnormal development of the cloacal membrane. The incidence of each is one in l0,000-50,000 and 200,000-400,000 live births. Male is more commonly affected than female. We experienced two cases of bladder exstrophy and one cloacal. First case was one-day-old girl who was referred to our department because of urine leakage through defected abdominal wall. We performed primary bladder closure with paraexstrophy skin flap urethroplasty, approximation and traction of pubis without osteotomy and application of hip-spica cast. The second was seven-day-old boy visited our department because of urine and stool leakage. We performed primary bladder closure, bilateral orchiectomy and ileostomy. He recurred bladder exstrophy due to infection of operation site. The third was twenty-day-old boy visited our department because of urine leakage. We recommended admission and treatment, but his parents refused further evaluation.
