USE OF TISSUE EXPANDERS IN FINAL RECONSTRUCTION OF INFRAPUBIC MIDLINESCAR, MONS PUBIS, AND VULVA AFTER BLADDER EXSTROPHY REPAIR

Two patients following bladder exstrophy repair presented for final co smetic reconstruction with the characteristic lower abdominal midline scar, bisected mons pubis, and laterally displaced labia majora. Tissu e expanders were used to obtain additional skin and subcutaneous tissu e. After adequate serial expansion, the expanders were removed, scar t issue excised, and primary approximation of healthy tissues performed. A tension-free closure and esthetically pleasing midline incision, mo ns pubis, and vulva were obtained.