Eur J Pediatr Surg 2011; 21(5): 335-336
DOI: 10.1055/s-0031-1277144
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Multi-Layer Reconstruction of Cloacal Bladder Exstrophy with a Pedicled Anterior Lateral Thigh Perforator Flap, Vastus Lateralis Muscle and Fascia Lata

O. Bleiziffer1 , K. Hirsch2 , A. Dragu1 , J. P. Beier1 , R. E. Horch1 , B. Wullich2 , U. Kneser1
  • 1Erlangen University Medical Center, Plastic and Hand Surgery, Erlangen, Germany
  • 2Erlangen University Medical Center, Urology, Erlangen, Germany
Further Information

Publication History

Publication Date:
03 May 2011 (online)


Cloacal bladder exstrophy is a rare congenital genitourinary malformation that occurs with varying degrees of severity. It is associated with epispadias and can be accompanied by lack of the urinary sphincter, clitoris duplex, diastasis of the rectus muscles and pelvic diastasis. Despite early surgical repair, debilitating long-term problems including urinary incontinence and abdominal wall deficiency can occur. Restoration of the structural integrity of the pediatric abdominal wall can represent a significant reconstructive challenge and has been attempted using a variety of approaches including primary closure, skin grafts, allogenic and xenogenic substitutes, and flap transfer. Here, we report a case of cloacal bladder exstrophy in which multi-layer reconstruction of an abdominal wall defect with a pedicled anterior lateral thigh perforator flap, vastus lateralis muscle and fascia lata was performed.



Dr. Olier Bleiziffer, MD 

Erlangen University Medical Center

Plastic and Hand Surgery

Krankenhausstraße 12

91054 Erlangen


Phone: + 49 9131 853 3277

Fax: + 49 9131 853 9327