[Bladder exstrophy].
OBJECTIVE
To describe the procedures of bladder exstrophy closure, epispadias repair to achieve urinary control. The approaches to the failed exstrophy are also described.


METHODS
Bladder closure soon after birth is performed with concomitant pelvic osteotomy. The different techniques are described. The Cantwell-Ransley technique is preferred for epispadias repair and the Young-Dees-Leadbetter procedure for bladder neck reconstruction.


RESULTS
A success rate of 92% and a failure rate of 31% have been reported by different authors.


CONCLUSIONS
To date there is no definitive solution in the treatment of bladder exstrophy. Continent urinary diversion may be warranted in some cases.
Department of Pediatric Urology, Great Ormond Street Hospital for Children, London, U.K.
P D
PD
Mouriquand
Y D
YD
Wilcox
D001746:Bladder Exstrophy / Q000175:diagnosis / Q000601:surgery*; D004842:Epispadias / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010027:Osteotomy; D010384:Pelvic Bones / Q000601:surgery; D017211:Treatment Failure; D001743:Urinary Bladder / Q000601:surgery
Extrofia vesical.