Wire in the hole: A case series of eroded intrapubic wire sutures causing genitourinary complications in the bladder exstrophy complex

Joan S. Ko, Angela D. Gupta, Heather DiCarlo, Kathy Lue, John Phillip Gearhart

Research output: Contribution to journalArticlepeer-review

Abstract

Bladder exstrophy and cloacal exstrophy are rare congenital defects of the genitourinary tract that require complex surgical reconstruction. Malrotation of the bony pelvis causes a characteristic diastasis of the pubic symphysis, which is surgically reduced at the time of initial bladder closure. For a successful primary closure without tension such that the bladder can be placed deep within the pelvis, pelvic osteotomy is often used. However, alternative techniques have been utilized to bring the pubic rami into apposition. The authors present four bladder/ cloacal exstrophy patients in which an intrapubic wire was used for pubic apposition, resulting in significant genitourinary complications.

Original languageEnglish (US)
Pages (from-to)8476-8479
Number of pages4
JournalCanadian Journal of Urology
Volume23
Issue number5
StatePublished - 2016

Keywords

  • Bladder exstrophy
  • Bone wires
  • Cloacal exstrophy
  • Pubic symphysis diastasis

ASJC Scopus subject areas

  • Medicine(all)
  • Urology

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