Asian Journal of Research and Reports in Urology

Repair of Classical Adult Female Exstrophy (Reared as Male) with Management of Surgical and Psychological Issues

Mukesh Chandra Arya *

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

Ankur Singhal

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

Vivek Vasudeo

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

Ajay Gandhi

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

Manoj Kumar Garg

Consultant Plastic Surgeon, Tantia General and Multispecialty Hospital, Sriganganagar, Rajasthan, India.

Yogendra Shyoran

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

*Author to whom correspondence should be addressed.

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Abstract

There are very few case reports of classical bladder exstrophy (CBE) presenting at an adult age. A 19 years old male patient was admitted with complaints of urinary incontinence since birth and was found out to be a CBE with female gender genetically. She underwent complete genitourinary reconstruction in stages. She needed multiple psychiatric consultations to accept change in the gender. Genitourinary reconstruction with achieved continence in adult exstrophy warrants this presentation.

Keywords: Adult exstrophy, complete bladder exstrophy, young-dees Bladder repair, ileocystoplasty, rectus abdominis flap.

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