It is fortunate that exstrophy of the bladder is a relatively rare condition, for its unfortunate possessors are in a pitiable condition and, though surgeons have for years devised and tried many operations for its relief, it can not be said that the procedure is yet known that will afford a cure in the sense of a restoration of the parts affected to a condition even approximating the normal. To effect a cure in that sense, a muscle with sphincteric action must be manufactured—evidently an almost impossible task. Our hope then must lie in relief of the condition, and that by such a procedure as will not expose the life of the patient to too great danger either through the mere technic of the operation or through its more remote effects.
Operations for this malformation are many and various. To those interested Hartley1 and Orlow2 offer an excellent
BOTTOMLEY JT. OPERATIVE TREATMENT OF EXSTROPHY OF THE BLADDER BY TRANSPLANTATION OF URETERS ON TO THE SKIN OF THE LOIN.APPLICATION OF THE PRINCIPLE TO OTHER BLADDER SURGERY—REPORT OF TWO ILLUSTRATIVE CASES.. JAMA. 1907;XLIX(2):141–144. doi:10.1001/jama.1907.25320020045001p