SEPA Based Flap for Covering Defect after Adult Exstrophy Epispadias Repair

Abstract

INTRODUCTION
 Bladder exstrophy is a complex, rare disorder that affects the foetus in utero. Here the abdominal wall is not fully formed, leaving the pubic bones separated and the bladder exposed in the lower abdominal wall.
 METHODOLOGY
 Single-stage reconstructive and repair surgery was undertaken in adults diagnosed with bladder exstrophy epispadias complex. The superficial external pudendal artery flap was considered for covering the defect after extensive reviews and discussion.
 CONCLUSION
 An uneventful surgery with recovery and a two-year follow-up post-surgery did not account for any complications following the procedure. This shows that the superficial external pudendal artery flap can be considered a favourable option for urologists in the repair of bladder exstrophy epispadias complex when undertaken in a single sitting surgery, especially in adults.
 MeSH Terms
 Bladder Exstrophy, epispadias repair, superficial external pudendal artery, axial-pattern flap.