Surgical Principles in the Primary Closure of Bladder Exstrophy

  • John P. Gearhart
  • Ranjiv Mathews


The functional closure of bladder exstrophy requires initial secure bladder closure followed by epispadias repair and finally bladder neck reconstruction for continence.1 Good functional and cosmetic results are best obtained with closure and follow-up performed by a team dedicated to the management of this very complex anomaly.


Primary Closure Ureteral Stents Bladder Exstrophy Urethral Plate Bladder Closure 
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Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • John P. Gearhart
    • 1
  • Ranjiv Mathews
    • 1
  1. 1.Division of Pediatric Urology James Buchanan Brady Urological InstituteJohns Hopkins Hospital and School of MedicineBaltimoreUSA

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