TY  - EJOU
AU  - Ko, Joan S. 
AU  - Gupta, Angela D. 
AU  - Carlo, Heather N. Di 
AU  - Lue, Kathy 
AU  - Gearhart, John P. 

TI  - Wire in the hole: a case series of eroded intrapubic wire sutures causing genitourinary complications in the bladder exstrophy complex
T2  - Canadian Journal of Urology

PY  - 2016
VL  - 23
IS  - 5
SN  - 1488-5581

AB  - 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.
KW  - bladder exstrophy
KW  -  cloacal exstrophy
KW  -  pubic symphysis diastasis
KW  -  bone wires

DO  -