What is bladder extrophy and epispadias?
Bladder exstrophy episadias complex describes a problem in development of the lower abdominal wall, bladder and urethra that results in the bladder being open and exposed to the outside of the body. This problem may occur in boy or girls. In boys the penis is usually short, upwardly curved (dorsal chordee) and the urethra is split open and rests along the top of the penis (male epispadias). In girls the open urethra passes between the clitoris which is separated by the urethral plate into two halves (female epispadias). The bony pelvis is also split open so that the pubic bones, which usually come together just above the penis or clitoris are separated (diastasis). Although epispadias may occur without bladder exstrophy usually these two problems occur together. The most severe form of this problem is called cloacal exstrophy. In this case, segments of bowel are also open and present outside the body in addition to the bladder and urethra. The incidence of bladder exstrophy is approxim
