title: Postoperative Immobilization and Pain Management After Repair of Bladder Exstrophy.
abstract: Surgical repair of bladder exstrophy is an ongoing challenge for pediatric urologists. Postoperative immobilization is a mainstay of care to decrease tension on the repair site and is often utilized in conjunction with pelvic osteotomies performed in the same operative setting by pediatric orthopedic surgeons. Multiple pelvic immobilization techniques have been developed in conjunction with repair techniques including special techniques for neonates. The most commonly utilized techniques for pelvic immobilization are Buck's and Bryant's traction and spica casting. A multimodal pain management approach is critical with pelvic immobilization to minimize postoperative pain and anxiety associated with reconstructive surgery at a young age.
authors.affiliation: Division of Pediatric Urology, Medical College of Wisconsin/Children's Hospital of Wisconsin, Children's Corporate Center Suite 330, 999 N. 92nd Street, Milwaukee, WI, 53226, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Roth
authors.affiliation: Division of Pediatric Urology, Medical College of Wisconsin/Children's Hospital of Wisconsin, Children's Corporate Center Suite 330, 999 N. 92nd Street, Milwaukee, WI, 53226, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Goetz
authors.affiliation: Division of Pediatric Urology, Medical College of Wisconsin/Children's Hospital of Wisconsin, Children's Corporate Center Suite 330, 999 N. 92nd Street, Milwaukee, WI, 53226, USA.
authors.forename: John
authors.initials: J
authors.lastname: Kryger
authors.affiliation: Division of Pediatric Urology, Medical College of Wisconsin/Children's Hospital of Wisconsin, Children's Corporate Center Suite 330, 999 N. 92nd Street, Milwaukee, WI, 53226, USA. TGroth@chw.org.
authors.forename: Travis
authors.initials: T
authors.lastname: Groth
mesh_terms: D001746:Bladder Exstrophy / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D059408:Pain Management; D010149:Postoperative Pain; D019651:Plastic Surgery Procedures
keywords: Bladder exstrophy; Pain management; Pelvic osteotomy; Pelvic traction; Spica casting