title: Current management of bladder exstrophy.
abstract: This article describes in detail the modern management of the patient born with classic bladder exstrophy. Also, new techniques of prenatal diagnosis and pelvic fixation to secure the initial or secondary closure are discussed. Last, management of the failed closure and the bladder not suitable for closure are described and outlined. A successful initial closure of the infant born with bladder exstrophy is the single most important determinant in the eventual development of continence in the exstrophy patient.
authors.affiliation: Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
authors.forename: J
authors.initials: J
authors.lastname: Ben-Chaim
authors.forename: J P
authors.initials: JP
authors.lastname: Gearhart
mesh_terms: D001746:Bladder Exstrophy / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004842:Epispadias / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D012086:Reoperation; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology / Q000601:surgery