The Role of Anatomic Pelvic Dissection in the Successful Closure of Bladder Exstrophy: An Aid to Success

Classic bladder exstrophy is one of the rarest congenital anomalies compatible with life. Surgical treatment of bladder exstrophy has progressed but the goal of surgery remains a successful primary bladder closure. Several factors have been identified to decrease the risk of failed closure, including appropriate use of osteotomy, and adequate postoperative immobilization and analgesia. However, the role of the radical anatomic pelvic dissection, including dissection of the urogenital diaphragm fibers, in a successful closure has not yet been extensively explored.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Source Type: research