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Exstrophy of the Bladder and Epispadias

Key Points about Exstrophy of the Bladder and Epispadias

  • Exstrophy of the bladder is when a baby’s bladder has grown inside out and is sticking out through the belly wall.
  • 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.
  • A child with exstrophy of the bladder may have a triangle-shaped opening in the belly where the bladder can be seen. The bladder will look bright pink.
  • Treatment is done with surgery. There are often three stages of surgery to fix the problems.
  • Even with surgery, a child may not be able to control his or her urine (urinary incontinence). There may also be long-term damage to the urinary tract and kidneys.
Children's Team

Children's Team


Hans Pohl

Hans Pohl

Division Chief, Urology
Co-director, Spina Bifida Program



At Children’s National Hospital in Washington, D.C., our pediatric urologists provide comprehensive care for disorders affecting reproductive and urinary organs.