Abstract
Objective To evaluate the efficacy of bilateral anterior iliac osteotomies to repair bladder exstrophy in children.Methods From January 1997 to December 2007, 13 children with bladder exstrophy, aged from 6 months to 13 years, underwent bilateral anterior lilac osteotomies at this center.Three patients had the history of failed initial surgery.Osteotomy was made on anterior external surface, from the anterior superior iliac spine and the anterior inferior iliac spine to the greater sciatic notch.Results The 13 patients were followed up for a mean period of 5 years (range:6 months to 10 years).No dehiscence was noted in the osteotomy group.All patients were achieved symphyseal approximation of less than 2 cm.Their locomotion was normal Three boys obtained urinary continence.Conclusions The procedure of anterior iliac osteotomies has some advantages over the traditional posterior iliac osteotomies in treatment of bladder exstrophy.By this treatment, patients achieve better clinical outcomes. Key words: Bladder exstrophy; Osteotomy; Urologic surgical procedures
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