Objective To report the management of urinary tract obstruction and infection in a pregnant woman with unrepaired bladder exstrophy. Case Report A 27-year-old pregnant woman with unrepaired bladder exstrophy was referred to our hospital with a complaint of bilateral flank pain in the second trimester. After two-dimensional abdominal ultrasound, magnetic resonance imaging and a urine analysis,...

Cloacal exstrophy is the most severe type of anorectal malformations that belongs to the bladder-exstrophy-epispadias complex of genitourinary malformations. Interestingly, its variant, the covered cloacal exstrophy, is often missed. The clinical findings of this variant may include an imperforate anus, low lying umbilicus, thick pubic bone, and pubic diastasis but with an intact abdominal wall...

Urinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula formation. We report the use of a rectus muscle flap in the repair of two concomitant vesicocutaneous...

Variants of classical exstrophy are exceedingly rare. We report a case of covered and duplicate exstrophy with duplication of the bladder, urethra and genital tract with dextrocardia. Dr. S. Mullick, MCh, D II/141‚ West Kidwai Nagar, New Delhi 110023 (India) Introduction Classical exstrophy of the bladder is not as rare as its variants. The usual problems of exstrophy are not encountered in cov...

Bladder exstrophy is a very rare congenital disorder, in which the first stage of reconstruction is usually performed within the first 72 hours of life. The most feared form of failure of the reconstruction is postoperative dehiscence of the bladder and abdominal wall. We present an 11-year-old girl with bladder exstrophy. She underwent three iliac bone supra-acetabular osteotomies with repair ...

Bladder exstrophy is relatively rare and even more rarely referred for rehabilitation. A nine-year-old girl with congenital bladder from Samar presented an abnormally low umbilicus, abdominal opening below the anteriorly located anus. The patient has had no prior medical consult. She underwent primary repair of exstrophy, anterior innominate bone osteotomy, application external fixators, tracti...

Exstrophy of the urinary bladder is an uncommon congenital anormaly for wich cystectomy was recommended because of a high risk of developing carcinoma. We report a patient treated by cystectomy and ileal loop diversion, who, 34 years later, developed carcinoma of the ileal loop. It is the third report of a tumor developing in a ileal conduit constructed after cystectomy for bladder exstrophy.

A three months male child was admitted in our department as a rare variant of bladder exstrophy (true duplicate bladder exstrophy). There are only 8 cases of this variant reported in the literature so far, we report an additional case to add the scarce literature.

Bladder exstrophy is a rare congenital malformation. It presents as leakage of urine in the anterior abdominal wall following defects in midline anterior abdominal wall skin and bladder. We report the use of combined general anaesthesia and caudal epidural analgesia in a 4yr old boy for repeat bladder exstrophy repair. Problems of prolonged surgery and the challenges of pain and sedation manage...

Bladder exstrophy is a rare congenital malformation. It presents as leakage of urine in the anterior abdominal wall following defects in midline anterior abdominal wall skin and bladder. We report the use of combined general anaesthesia and caudal epidural analgesia in a 4yr old boy for repeat bladder exstrophy repair. Problems of prolonged surgery and the challenges of pain and sedation manage...