Exstrophy of the bladder is when a baby’s bladder has grown inside out and is sticking through the wall of the belly (abdomen). The bladder can be seen in the front of the child’s lower belly. It is a rare condition. It involves problems with how the urinary tract, muscles, bones, and the digestive system grew in the womb.
Epispadias is a problem often seen with exstrophy of the bladder. It is when the opening of the tube that carries urine out of the body (the urethra) is in the wrong place. In a baby boy, the opening is usually on the top of the penis. Instead, the opening may be the whole length of the penis. In a girl, the opening may also be longer, and higher in the urethra. It may open right next to the bladder.
The disorder varies from mild to severe. A child with exstrophy of the bladder may have a triangle-shaped opening in the abdomen where the bladder can be seen. The bladder will look bright pink. A boy may also have a short, small penis with a urethral opening along the top of the penis (epispadias). A girl may also have a narrow vaginal opening, a wide labia, and a short urethra.
In many cases, a child with exstrophy of the bladder may also have these problems:
Treatment is done with surgery. There are usually 3 stages of surgery to fix the problems. They are:
Talk with your child’s healthcare providers about the risks, benefits, and possible side effects of all treatments.
Call the healthcare provider if your child has:
Tips to help you get the most from a visit to your child’s healthcare provider:
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