Journal of Pediatric Urology
Volume 2, Issue 4 , Pages 294-298 , August 2006

Pelvic osteotomy and symphysis reconstruction in bladder exstrophy: Early (2–6 years) results with a new (Double Door) symphysis reconstruction

Received 7 November 2005 ,Accepted 29 December 2005.

References 

  1. Silver RI, Sponseller PD, Gearhart JP. Staged closure of the pelvis in cloacal exstrophy: first description of a new approach. J Urol. 1999;161:263–266
  2. Mathews R, Sponseller PD, Jeffs RD, Gearhart JP. Bladder neck reconstruction in classic bladder exstrophy: the role of osteotomy in the development of continence. BJU Int. 2000 Mar;85:498–500
  3. Sponseller PD, Jani MM, Jeffs RD, Gearhart JP. Anterior innominate osteotomy in repair of bladder exstrophy. J Bone Joint Surg Am. 2001 Feb;83-A:184–193
  4. Gearhart JP. Complete repair of bladder exstrophy in the newborn: complications and management. J Urol. 2001;165:2431–2433
  5. Meldrum KK, Baird AD, Gearhart JP. Pelvic and extremity immobilization after bladder exstrophy closure: complications and impact on success. Urol. 2003;62:1109–1113
  6. Segev E, Ezra E, Binyamini Y, Wientroub S, Ben-Chaim J. A combined vertical and horizontal pelvic osteotomy approach for repair of bladder exstrophy: the Dana experience. Isr Med Assoc J. 2004;6:749–752
  7. Svenningsson A, Gutierrez-Farewik E, Svensson J, Brostroem E, Haglund Y, Nordenskjold A. Gait analysis in children with bladder exstrophy: effect of an early pelvic osteotomy. J Ped Urol. 2005;1:175
  8. Jones D, Parkinson S. Oblique pelvic osteotomy in the exstrophy/epispadias complex. J Ped Urol. 2005;1:181
  9. Muecke EC, Currarino G. Congenital widening of the pubic symphysis. Associated clinical disorders and roentgen anatomy of affected bony pelvis. AJR Am J Roentgenol. 1968;103:179–185
  10. Edholm P. Correction of the pelvis in bladder exstrophy. A radiologic analysis. Acta Radiol. 1970;10:401–412
  11. Lascombes P, Dautel G, Grosdidier G, Borrelly J. Anatomic basis for the orthopedic treatment of bladder exstrophy: anatomic study of the sacro-sciatic ligaments in the newborn. Surg Radiol Anat. 1988;10:97–100
  12. Lascombes P, Dautel G, Grosdidier G. Anatomical basis of pelvic growth in bladder exstrophy. Surg Radiol Anat. 1989;11:85–89
  13. Sponseller PD, Bisson LJ, Gearhart JP, Jeffs RD, Magid D, Fishman E. The anatomy of the pelvis in the exstrophy complex. J Bone Joint Surg Am. 1995;77:177–189
  14. Wakim A, Barbet JP, Lair-Milan F, Dubousset J. The pelvis of fetuses in the exstrophy complex. J Pediatr Orthop. 1997;17:402–405
  15. Stec AA, Pannu HK, Tadros YE, Sponseller PD, Wakim A, Gearhart JP. Pelvic floor anatomy in classic bladder exstrophy using 3-dimensional computerized tomography: initial insights. J Urol. 2001;166:1444–1449
  16. Stec AA, Pannu HK, Tadros YE, Sponseller PD, Wakim A, Fishman EK, et al. Evaluation of the bony pelvis in classic bladder exstrophy by using 3D-CT: further insights. Urology. 2001;58:1030–1035
  17. Poli-Merol ML, Watson JA, Gearhart JP. New basic science concepts in the treatment of classic bladder exstrophy. Urology. 2002;60:749–755
  18. Gugenheim JJ, Gonzales ET, Roth DR, Montagnino BA. Bilateral posterior pelvic resection osteotomies in patients with exstrophy of the bladder. Clin Orthop Relat Res. 1999 Jul;364:70–75
  19. Jani MM, Sponseller PD, Gearhart JP, Barrance PJ, Genda E, Chao EYS. The hip in adults with classic bladder exstrophy: a biomechanical analysis. J Pediatr Orthop. 2000;20:296–301
  20. Lloyd-Roberts GC, Williams DI, Braddock GTF. Pelvic osteotomy in the treatment of ectopia vesicae. J Bone Joint Surg Br. 1959;41:754–757
  21. Aadalen RJ, O'Phelan EH, Chisholm TC, McParland FA, Sweetser TH. Exstrophy of the bladder: long-term results of bilateral posterior iliac osteotomies and two-stage anatomic repair. Clin Orthop Relat Res. 1980 Sep;151:193–200
  22. Sponseller PD, Gearhart JP, Jeffs RD. Anterior innominate osteotomies for failure or late closure of bladder exstrophy. J Urol. 1991;146:137–140
  23. Gibbon AJ, Maffulli N, Fixsen JA. Horizontal pelvic osteotomies for bladder exstrophy. A preliminary report. J Bone Joint Surg Br. 1991;73:896–898
  24. Schmidt AH, Keenen TL, Tank ES, Bird CB, Beals RK. Pelvic osteotomy for bladder exstrophy. J Pediatr Orthop. 1993;13:214–219
  25. McKenna PH, Khoury AE, McLorie GA, Churchill BM, Babyn PB, Wedge JH. Iliac osteotomy: a model to compare the options in bladder and cloacal exstrophy reconstruction. J Urol. 1994;151:182–186[discussion 186–7]
  26. Sutherland D, Pike L, Kaufman K, Mowery C, Kaplan G, Romanus B. Hip function and gait in patients treated for bladder exstrophy. J Pediatr Orthop. 1994;14:709–714
  27. Gearhart JP, Forschner DC, Jeffs RD, Ben-Chaim J, Sponseller PD. A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy. J Urol. 1996;155:689–693
  28. Frey P. Bilateral anterior pubic osteotomy in bladder exstrophy closure. J Urol. 1996;156:812–815
  29. Sussman JS, Sponseller PD, Gearhart JP, Valdevit AD, Kier-York J, Chao EYS. A comparison of methods of repairing the symphysis pubis in bladder exstrophy by tensile testing. Br J Urol. 1997;79:979–984
  30. Schertz HC, Kaplan GW, Sutherland DH, Packer MG. Fascia lata and early spica casting as adjuncts in closure of bladder exstrophy. J Urol. 1990;144:550–553
  31. Gauthier AR, Ortenberg J, Willis B. Use of cadaveric fascia lata for closure of bladder exstrophy with diplomyelia. Urology. 2002;60:685–688
  32. Kaar SG, Cooperman DR, Blakemore LC, Thompson GH, Petersilge CA, Elder JS, et al. Association of bladder exstrophy with congenital pathology of the hip and lumbar spine: a long-term follow-up study of 13 patients. J Pediatr Orthop. 2002;22:62–66
  33. Gearhart J, Nelson C, King J, Sponseller P. Repeat pelvic osteotomy in patients with prior failed closure of the bladder exstrophy: applications and outcomes. J Ped Urol. 2005;1:181–182
  34. Nordin S, Clementson C, Herrlin K, Hagglund G. Hip configuration and function in bladder exstrophy treated without pelvic osteotomy. J Pediatr Orthop B. 1996;5:119–122
  35. Halachmi S, Farhat W, Konen O, Khan A, Hodapp J, Bagli DJ, et al. Pelvic floor magnetic resonance imaging after neonatal single stage reconstruction in male patients with classic bladder exstrophy. J Urol. 2003;170:1505–1509
  36. Williams AM, Solaiyappan M, Pannu HK, Bluemke D, Shechter G, Gearhart JP. 3-dimensional magnetic resonance imaging modeling of the pelvic floor musculature in classic bladder exstrophy before pelvic osteotomy. J Urol. 2004;172:1702–1705
  37. Boemers T, Schimke C, Ludwikowski B, Ardelean MA. Prevention and treatment of uterine prolapse in exstrophy girls with rotundum-psoas-hitch procedure: a new surgical technique. J Ped Urol. 2005;1:175
  38. Miles-Thomas J, Mcintyre A, Gearhart S, Gearhart J. Quality of life and pelvic floor functioning bladder exstrophy patients with ureterosigmoidostomy. J Ped Urol. 2005;1:173–174
  39. Catti M, Mouriquand P. Quality of life in adult women born with bladder and cloacal exstrophy: a long term follow-up. J Ped Urol. 2005;1:173

PII: S1477-5131(06)00018-0

doi: 10.1016/j.jpurol.2005.12.005

Journal of Pediatric Urology
Volume 2, Issue 4 , Pages 294-298 , August 2006

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