Bladder carcinoma in an exstrophy patient

Introduction: Carcinoma of the urinary bladder is a typical late complicati on of exstrophy. Case report: We report on a 51-year-old woman with bladder exstrophy, who, after refusing all treatment whatsoever, developed a gigantic carcinoma of the urothelial plate. Palliative success was achieved by radical cystectomy with supravesical diversion and covering by myocutaneous flaps. Conclusion: In cases of an extended carcinoma of bladder exstrophy, a succe ssful covering is achieved by means of pedicled flaps of musculus rectus ab dominalis and musculus rectus femoris.