EXSTROPHY OF BLADDER

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Abstract
Exstrophy of the bladder is a rare but tragic anomaly. In 1947 Higgins1stated that the incidence of malformation was 1 in every 50,000 births. In his series of 41 patients, 33 were males and 8 were females. In our own material there were 62 males and 18 females. The therapeutic attack on this disease includes these objectives: (1) to cure the incontinence by producing a receptacle that can receive urine and discharge it at frequent intervals at the will of the patient, (2) to remove the sensitive everted bladder mucosa and to repair the abdominal wall defect, and (3) to correct deformities of the genitalia in both male and female by plastic procedures. It is not necessary to attempt to give bony union between the two sides of the pelvis, for over a period of years sufficient fibrous stabilization occurs to give the patient a satisfactory gait. This

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