Predictors of a successful primary bladder closure in cloacal exstrophy: A multivariable analysis

Multivariable analysis of 99 cloacal exstrophy patients demonstrates that staged surgical approach and pelvic osteotomy independently predict successful primary bladder closure, with osteotomy increasing success odds six-fold. Study strongly recommends combining staged approach with osteotomy for optimal reconstructive outcomes in this complex congenital anomaly.