BACKGROUND Cloacal exstrophy is a rare, complex defect of the entire pelvis and its contents that occurs during embryogenesis and is associated with severe phallic inadequacy or phallic absence in genetic males. For about 25 years, neonatal assignment to female sex has been advocated for affected males to overcome the issue of phallic inadequacy, but data on outcome remain sparse. METHODS We ...

Abstract Background Classic bladder exstrophy is a complex, multi-system congenital malformation affecting formation of the genitourinary system, pelvis, and abdominal wall. Main body Historically children with this abnormality were consigned to poor outcomes quality life. Modern advancements in diagnosis management disorder have resulted low mortality rates shifted clinical focus toward optimi...

OBJECTIVE To present the early results of pelvic osteotomies performed for repair of exstrophy bladder. METHODS Five cases of exstrophy bladder were treated with closure following bilateral iliac osteotomies. Three patients underwent closure of pubic symphysis diastasis by use of external fixator, one by screws and cerclage wires, and one by use of K-wires and suture. The patients were follow...

Aims of Workshop Spina bifida, bladder exstrophy/epispadia, posterior urethral valves, hypospadia and anorectal malformations are surgically managed in childhood but all these patients require life-long urological care for the treatment of continence. There are critical aspects to define: Correct management in childhood to avoid procedure that impair adult life. Transition out of childhood, act...