Tensor Fascia Lata Flap: A Lifeboat For Unresolved Bladder Exstrophy Defect

Bladder exstrophy is a rare lower urinary tract malformation that occurs less frequently in women than in men. A case of 11-year girl, who presented with the residual bladder exstrophy along with lower abdominal defect secondary to previously operated bladder exstrophy. Anterior osteotomy and abdominal rectus muscle and musculocutaneous flaps are commonly used options for closure of the defect. Due to extensive scarring and atrophic abdominal recti and late presentation, local reconstructive options were exhausted. Hence, the tensor fascia lata flap was used for the defect closure. In the following report, we discuss our experience with this procedure.