Bladder exstrophy

Abstract

Bladder exstrophy is difficult and rare congenital malformations. Occurs in three clinical forms: incomplete, complete or classic (exstrophy-epispadias complex) and third, cloacal exstrophy which is a much more severe abnormality, with significant involvement of other organ systems. The modern ultrasound devices allow great advances in the diagnosis, a large number of controls and adequate monitoring of pregnant women. However, there are still special circumstances without appropriate visualisation of the fetus. It is important to keep delivery without additional obstetric complications as well as neonatology care . The final outcome of operation depends of child vitality and the anomaly itself. The case shows of a female child born in Gynecology- Obstetrics clinic in Kragujevac with classic bladder exstrophy and epispadias that we followed until third month of life. Team of gynecologist - neonatologist - pediatric surgeon - pediatrician can provide successful surgical outcome and prevent complications. The most important is that the child has preserved psychomotor development and the possibility of certain quality of life.