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KARL C. JONAS, M.D.

AMA Arch Surg. 1959;78(1):146-150.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

Exstrophy of the urinary bladder is an infrequent congenital anomaly, estimated to occur approximately once in 40,000 births, predominantly in males. It is due to retarded development resulting in a deficient union of the lateral halves of the bladder and the structures which lie in front of it. The pubic bones do not fuse, and the flat mucous surface of the bladder, with its projecting ureteral orifices, makes up the floor of the deficit in the anterior abdominal wall. Complete epispadias is an accompanying feature. If the condition is untreated, danger of ascending infection is great, and pyelonephritis is frequently fatal early in life. The proposal of over 70 different methods of treatment indicates the difficulties inherent in successfully correcting this anomaly. For many years the treatment of choice has been some form of operative procedure to divert the urinary stream to the intestinal tract, although more recently primary . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

Footnotes
Submitted for publication June 27, 1958.

Read before the Section of Surgery, General and Abdominal, at the 107th Annual Meeting of the American Medical Association, San Francisco, June 27, 1958.

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