CONGENITAL WIDENING OF THE PUBIC SYMPHYSIS

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Abstract
Be an important clue to the presence of congenital anomalies of the genitourinary tract. It is a constant feature in children with exstrophy of the urinary bladder and its variants; it is probably also a constant feature in children with major epispadiac deformities with urinary incontinence and may occur in some of the lesser forms as well. In a study of the roentgen anatomy of thus affected pelves we were able to collect 89 cases ofsymphyseal separation seen over a 30 year period at The New York Hospital. In i6 cases the symphysis was described as "definitely widened" but the roentgeno- grams were not available for review. In the remaining 73 cases we were able to measure the minimal distance between the pubic bones in standard anteroposterior roentgenograms of the pelvis. The width

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