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Surgery Research and Practice
Volume 2014 (2014), Article ID 587064, 9 pages
Review Article

Modern Management of the Exstrophy-Epispadias Complex

Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Charlotte Bloomberg Children’s Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Suite 7302, Baltimore, MD 21287, USA

Received 16 August 2013; Revised 28 October 2013; Accepted 9 December 2013; Published 5 January 2014

Academic Editor: Frank A. Frizelle

Copyright © 2014 Brian M. Inouye et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The exstrophy-epispadias complex is a rare spectrum of malformations affecting the genitourinary system, anterior abdominal wall, and pelvis. Historically, surgical outcomes were poor in patients with classic bladder exstrophy and cloacal exstrophy, the two more severe presentations. However, modern techniques to repair epispadias, classic bladder exstrophy, and cloacal exstrophy have increased the success of achieving urinary continence, satisfactory cosmesis, and quality of life. Unfortunately, these procedures are not without their own complications. This review provides readers with an overview of the management of the exstrophy-epispadias complex and potential surgical complications.