Henry Ford Hospital Medical Journal


Exstrophy of the bladder is a rare but serious congenital affliction. Untreated, exstrophy is associated with unacceptable morbidity and mortality. A case report is presented in which primary closure of the bladder and bilateral iliac osteotomy was successfully employed to gain anatomic correction of the bladder defect. However, the value of this surgical technique in restoring normal function of the lower urinary tract system is questionable.