title: A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy.
abstract: OBJECTIVE
  We describe a new combined horizontal and vertical pelvic osteotomy procedure for bladder exstrophy.
  
  
  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.
authors.affiliation: Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Gearhart
authors.forename: D C
authors.initials: DC
authors.lastname: Forschner
authors.forename: R D
authors.initials: RD
authors.lastname: Jeffs
authors.forename: J
authors.initials: J
authors.lastname: Ben-Chaim
authors.forename: P D
authors.initials: PD
authors.lastname: Sponseller
mesh_terms: D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010384:Pelvic Bones / Q000601:surgery; D012086:Reoperation