SUMMARY
Twenty‐eight cases of exstrophy of the bladder over a 32‐year period were divided into groups, 7 cases from 1936 to 1951 and 21 cases subsequent to 1951.
Analysis revealed that ureterosigmoidostomy using the technique described is a very satisfactory procedure.
Primary closure is facilitated by iliac osteotomy but incontinence and reflux remain a problem. A pelvic sling was found superior to a plaster cast following osteotomy.
Reconstruction of the genitalia is a necessary procedure regardless of the primary surgery. A pull‐through epispadias repair in the male is described which preserves fertility and sexual function.
The ileal conduit was utilised as a back‐up procedure.
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