Combined bladder exstrophy and epispadias repair.
A 2-year-old male child of exstrophy-epispadias complex presented to us. He had not received any treatment at the time of presentation. It was decided to perform a combined bladder exstrophy and epispadias repair under general anaesthesia. There was a wide diastasis of symphysis pubis, it was decided to perform a bilateral anterior innominate and vertical iliac osteotomy. The bladder was closed in two layers. The urethroplasty and penile reconstruction was done by modified Cantwell-Ransley repair. At the completion of procedure to prevent distraction of pubis, the baby was strapped using elastoplast bandage. The child had a very good cosmetic outcome, good pubic and rectus muscle approximation. On clamping the suprapubic catheter, the patient started passing urine per urethrally and there was a small penopubic fistula. Thereafter the suprapubic catheter was removed. The urine culture was sterile and the patient was discharged on prophylactic antibiotics. The patient is due for follow-up.
Department of Surgery, Unit of Urology, People's College of Medical Sciences, Bhopal, India.
Ranjit
R
Chaudhary
Ashwin
A
Apte
Rajkumar
R
Mehta
Atul
A
Varshney
Kulwant
K
Singh
Nidhi
N
Jain
Rakesh
R
Biswas
D001746:Bladder Exstrophy / Q000601:surgery*; D004842:Epispadias / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010027:Osteotomy; D019651:Plastic Surgery Procedures