scholarly journals Bladder exstrophy closure using anterior pelvic osteotomy of superior pubic rami

2015 ◽  
Vol 57 (3) ◽  
pp. 201-204
Author(s):  
Moaied A. Hassan ◽  
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Pubic Rami

Orthopaedic Management of Bladder Exstrophy

2021 ◽  
Author(s):  
R. Özgür Özer
Keyword(s):  
Abdominal Wall ◽  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Orthopedic Procedures ◽  
Suture Materials ◽  
Cloacal Exstrophy ◽  
Surgical Interventions ◽  
Pubic Rami ◽  
Multi Stage ◽  
Pubic Diastasis

Bladder exstrophy is an embryologic malformation that affects urogenital and skeletal systems. Non-operative treatment of this rare problem is impossible. Urogenital reconstructions can be facilitated by orthopedic procedures. These reconstructions can be performed in a single stage as a complete repair or multi-stage approaches. The goal of the treatment is closure of the bladder and abdominal wall for the achievement of continence, preservation of renal functions, and cosmetic and functional reconstruction of genital organs. Orthopedic procedures are performed to decrease the tension that complicates the bladder and abdominal wall closure by approximating the pubic rami to achieve a secure closure and a low recurrence rate. Surgical interventions consist of the approximation of the pubic rami with different materials such as suture materials and plaque or the application of different osteotomy types such as posterior iliac, anterior pelvic (pubic), diagonal iliac, horizontal iliac and posterior pelvic resection osteotomies. The age of the patient, the amount of pubic diastasis and history of previous operations that the patient has undergone should be considered during the operation planning. Pubic rami can be approximated without performing pelvic osteotomy in patients who are operated within the first 72 hours after birth. But, osteotomy is required in children older than 2 years of age with severe pubic diastasis, concomitant cloacal exstrophy and unsuccessful operation history. The surgical team should have enough knowledge and experience to perform different osteotomy types in case of need to combine anterior and posterior iliac osteotomies. With these multidisciplinary approaches, much more successful outcomes could be achieved.

Is Pelvic Osteotomy Associated with Lower Risk of Pelvic Organ Prolapse in Postpubertal Females with Classic Bladder Exstrophy?

2012 ◽  
Vol 188 (6) ◽  
pp. 2343-2346 ◽  
Author(s):  
Ifeanyi Anusionwu ◽  
Nima Baradaran ◽  
Bruce J. Trock ◽  
Andrew A. Stec ◽  
John P. Gearhart ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Lower Risk ◽  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Pelvic Organ

Comparison of posterior and anterior pelvic osteotomy for bladder exstrophy complex

2006 ◽  
Vol 15 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Shinichi Satsuma ◽  
Daisuke Kobayashi ◽  
Shinichi Yoshiya ◽  
Masahiro Kurosaka
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy

Hip Configuration and Function in Bladder Exstrophy Treated Without Pelvic Osteotomy

1996 ◽  
Vol 5 (2) ◽  
pp. 121-122 ◽  
Author(s):  
Sofia Nordin ◽  
Christina Clementson ◽  
Kristian Herrlin ◽  
Gunnar Hagglund
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
And Function

Pelvic osteotomy in the newborn classic bladder exstrophy closure: Complications and outcomes

2017 ◽  
Vol 16 (3) ◽  
pp. e821 ◽  
Author(s):  
B. Sullivan ◽  
D. Friedlander ◽  
H. Di Carlo ◽  
P. Sponseller ◽  
J. Gearhart
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy

Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates

2019 ◽  
Vol 28 (3) ◽  
pp. 207-213
Author(s):  
Marco Giordano ◽  
Antonio Di Lazzaro ◽  
Vincenzo Guzzanti ◽  
Silvia Careri ◽  
Pietro Bagolan ◽  
...  
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy

Staged Male Bladder Exstrophy Repair

2019 ◽  
Author(s):  
Timothy S. Baumgartner ◽  
John P. Gearhart
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Postoperative Management ◽  
Urinary Continence ◽  
Antireflux Procedure ◽  
Surgical Interventions ◽  
Urethral Closure ◽  
Bladder Neck Reconstruction ◽  
Selection For ◽  
Primary Bladder

This chapter details the latest surgical advances and outcomes in the modern surgical management of male classic bladder exstrophy to include patient selection for closure, operative considerations, newborn primary bladder and posterior urethral closure, early epispadias repair, bladder neck reconstruction with an antireflux procedure, and postoperative management. It highlights how to achieve the primary objectives of (1) a secure abdominal closure, (2) reconstruction of a functional and cosmetically acceptable penis, and (3) urinary continence with the preservation of renal function. In addition, it addresses the most common pitfalls and challenges encountered when accomplishing each of the major surgical interventions. This review contains 3 figures, 5 tables, and 47 references. Key Words: Congenital defect, Bladder exstrophy, Epispadias, Reconstruction, Urinary Continence, Magnetic Resonance Imaging, Pain management, Pelvic osteotomy

Repeat pelvic osteotomy in patients with failed closure of bladder exstrophy: applications and outcomes

2006 ◽  
Vol 41 (6) ◽  
pp. 1109-1112 ◽  
Author(s):  
Caleb P. Nelson ◽  
Jeremy King ◽  
Paul D. Sponseller ◽  
John P. Gearhart
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy

1614 IS PELVIC OSTEOTOMY ASSOCIATED WITH LOWER RISK OF PELVIC ORGAN PROLAPSE IN PATIENTS WITH CLASSIC BLADDER EXSTROPHY?

2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Ifeanyi Anusionwu ◽  
Nima Baradaran ◽  
Bruce Trock ◽  
Andrew Stec ◽  
John Gearhart ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Lower Risk ◽  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Pelvic Organ
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