Editorial Comment

Abstract

The postoperative genital appearance of repaired exstrophy patients, both male and female, remains an area needing surgical refinements. This includes the scrotum, which can be challenging to reconstruct in male exstrophy patients because of pubic diastasis. I applaud the authors for describing a new technique by which scrotoplasty can be accomplished in these patients, with acceptable cosmetic results based on preliminary data. 1 Dangle P.P. Billimire D. Schneck F. Grunwaldt L.J. Bilateral Circum-scrotal Z-plasties for Creation of Single Scrotal Sac in Cloacal Exstrophy With Widely Divergent Scrotal Sacs. Urology. 2015; 86: 808-810 Abstract Full Text Full Text PDF Scopus (1) Google Scholar Larger series using this technique will be necessary to determine whether the outcomes to date will hold true over time. Bilateral Circum-scrotal Z-plasties for Creation of Single Scrotal Sac in Cloacal Exstrophy With Widely Divergent Scrotal SacsUrologyVol. 86Issue 4PreviewSignificant number of patients with cloacal exstrophy variants present with poorly developed scrotum. Widely divergent hypoplastic scrotal sacs pose a technical challenge for scrotal reconstruction. We describe a technique of bilateral Z-plasty for the creation of single scrotal sac in a patient with widely divergent, hypoplastic scrotal sacs. Full-Text PDF ReplyUrologyVol. 86Issue 4PreviewCloacal exstrophy omphalocele-exstrophy-imperforate anus-spinal (OEIS) defects complex is rare with incidence of 1 in 200,000-400,000 pregnancies. Although the incidence of the associated scrotal anomalies is relatively high in patients with omphalocele-exstrophy-imperforate anus-spinal defects complex, very few cases are managed during individual's career. Full-Text PDF