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Materials and Methods:

Retrospective chart review of all classic bladder exstrophy cases done at our hospital, from March 2000 to October 2007. A total of 19 patients were found. The records were reviewed with respect to age at bladder closure, primary (initial) or redo closure, presence and type of osteotomy, method of pelvic immobilization, complications related to the immobilization technique & the use of osteotomy.

Results:

Total of 19 patients identified with classic bladder extrophy, all underwent CPER repair. Seven females and 12 males. Eight patients (43%) had failed initial bladder closures. Two of these patients were done outside without osteotomies or immobilization and referred for redo closure. Of the 17 initially closed at our institution all underwent bilateral pelvic osteotomy expect 1, and 6 (36%) failed initial closure. The method of immobilization used in all failed closures was a cervical collar with a …