ABSTRACT
Answer: (c) Complete primary closure affords the above mentioned advantages. However, it is typically performed in the neonatal period which precludes the surgical correction of reflux. (Page 1014)
2. Single-stage reconstruction using the complete primary repair of exstrophy (CPRE) technique relies on the following to achieve urinary continence except:
(a) R eestablishment of normal anatomic relationships
(b) B ladder-neck reconstruction at the time of primary surgery
(c) O steotomy at the time of single-stage reconstruction
(d) S imultaneous epispadias repair (e) N one of the above
Answer: (b) CPRE involves division of the intersymphyseal band which allows the placement of the bladder and reconstructed
urethra deep into the pelvis, and reestablishment of normal anatomy. This relationship will allow bladder cycling and continence, which some believe may preclude the need for a formal bladder-neck repair. (Page 1015)
3. The following postoperative factors have been shown to increase the success of reconstruction for bladder exstrophy except:
(a) I mmobilization with external fixators, Buck ' s traction, a Spica cast, etc .
