Clinical results with anterior diagonal iliac osteotomy in bladder exstrophy

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dc.contributor.authorOzcan, C
dc.contributor.authorUlman, I
dc.contributor.authorKara, S
dc.contributor.authorAvanoglu, A
dc.contributor.authorKapubagli, A
dc.contributor.authorGokdemir, A
dc.date.accessioned2019-10-27T18:22:57Z
dc.date.available2019-10-27T18:22:57Z
dc.date.issued2000
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: We report our clinical experience with anterior diagonal iliac osteotomy in 10 patients who underwent surgery for bladder exstrophy. Technique and long-term results are discussed. Materials and Methods: A total of 10 boys 1 month to 9 years old with bladder exstrophy underwent this procedure during a 2-year period. Results: None of the patients had bladder closure dehiscence or prolapse after the operation. There were neither infectious complications nor injury to the vessels or nerves in any case. Blood loss was minimal for anterior diagonal iliac osteotomy. The only significant complication in our series was the polypropylene erosion of the urethra, necessitating endoscopic removal in 1 patient 1 month postoperatively. All patients had wide diastasis of the pubis preoperatively (average pubic distance 53.3 cm., average pubic ratio 0.9). At surgery suturing the sym physis after bilateral osteotomy resulted in a satisfactory symphyseal approximation and tension-free closure of the abdominal wall was easily achieved in all cases. Radiological studies at a mean followup of 34.6 months (range 14.8 to 49.5) revealed significant recurrent diastasis of the pubic bones in all but 1 patient in whom bone grafts were applied between the iliac fragments. Mean interpubic distance was 42 cm. and mean pubic ratio was 0.6 at long-term followup. Conclusions: Diagonal osteotomy may correct the principal bony deformity in exstrophy and enables initial symphyseal approximation. Pubic diastasis may recur, probably due to opening forces generated by soft, tissue elements of the pelvis.en_US
dc.identifier.doi10.1016/S0022-5347(05)67601-Xen_US
dc.identifier.endpage1935en_US
dc.identifier.issn0022-5347
dc.identifier.issue6en_US
dc.identifier.pmid10799232en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1932en_US
dc.identifier.urihttps://doi.org/10.1016/S0022-5347(05)67601-X
dc.identifier.urihttps://hdl.handle.net/11454/36063
dc.identifier.volume163en_US
dc.identifier.wosWOS:000086984900122en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectosteotomyen_US
dc.subjectbladder exstrophyen_US
dc.subjectabnormalitiesen_US
dc.subjectbone, pubicen_US
dc.titleClinical results with anterior diagonal iliac osteotomy in bladder exstrophyen_US
dc.typeArticleen_US

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