What is the treatment for bladder exstrophy?
Bladder exstrophy requires surgical repair. In the past, this condition required multiple operations, but now, doctors can complete the repair in one or two procedures. This is known as ‘staged reconstruction.’
The surgical team often includes a urologist and orthopedic surgeon to address the bladder abnormality and abnormal bony pelvis common in exstrophy. It is sometimes best to delay this closure until the infant is a few months old rather than right after birth. There are many factors which guide this decision.
Children are often hospitalized for several weeks after reconstruction, mainly to restrict movement to allow the pelvis and bladder to heal more reliably.
As children grow, some later require bladder surgery to achieve continence (control of when they pee).