Wound Dehiscence in Bladder Exstrophy: An Examination of the Etiologies and Factors for Initial Failure and Subsequent Success

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Abstract
During the last 8 yr 20 patients [children] were seen for secondary or repeat closure for exstrophy of the bladder following dehiscence after initial closure. Various factors that may have contributed to the initial problems were investigated. Wound infection (42%) and bladder prolapse (46%) were the major etiologies for initial failures. In 6 patients (30%) colon conduits were required for bladder augmentation or colocolostomy, which emphasized the importance of achieving a good result at initial closure. A successful protocol (only 5% reclosure rate for 60 closures) was outlines.