Bladder exstrophy closure in the newborn period with external pelvic fixation performed without osteotomy: A preliminary report

The two-pin external fixator without osteotomy as an adjunct to primary bladder closure in CBE patients was technically feasible. At the current institution this approach had an equivalent success rate to previous reports in the literature for primary bladder closure, decreased the length of hospital stay, and precluded the need for lower extremity immobilization. Early data for bladder capacity were encouraging.Summary table. Baseline characteristics and follow-up outcomes of the participants.Clinical variablesMean ± SD (minimum-maximum)Gestational age (months)38.6 ± 1.9 (34-41.2)Age at surgery (days)2.6 ± 1.5 (1-5)Hospitalization length (days)30 ± 15.5 (13-65)Expected bladder capacity for age (%)55.5 ± 32.4 (11.51-108.47)Successful primary closure (%)12 (92.3)SD, standard deviation.