Complete primary repair of exstrophy - Surgical technique

The single-stage reconstructive approach to exstrophy evolved out of change s in the management of exstrophy. The success of Jeffs and others that func tionally reconstructed the bladder of patients with exstrophy demonstrated that the approach was feasible and acceptable. Increased understanding of t he anatomic pathology associated with exstrophy and epispadias resulted in the development of complete penile disassembly for epispadias and the exten sion of this technique to exstrophy as the complete primary repair techniqu e described herein. The results using this technique are encouraging, leadi ng to the recommendation for the procedure by other surgeons committed to t he care of patients with exstrophy.