A recent study has reported a novel approach to primary bladder exstrophy closure without osteotomy in newborns. In this study, most patients were managed on a paediatric urology ward with an epidural catheter, with similar outcomes to patients treated in an intensive care unit with ventilation and muscle relaxation.
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Ebert, AK., Rösch, W. Is osteotomy necessary for primary exstrophy closure?. Nat Rev Urol 10, 625–626 (2013). https://doi.org/10.1038/nrurol.2013.237
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DOI: https://doi.org/10.1038/nrurol.2013.237
