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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





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