Urinary Problem

	Cloacal exstrophy due to failrue of hind gut development. Prolapsed mucosa of hemibladder is demonstrated with the exposed prolapsed mucosa of terminal ileum in-between. Imperforate anus and meconium passed through the open ileum are also noted.
	Cloacal exstrophy. Apart from the exposed mucosa hemibladder and terminal ileum, there is also prolapsed of the proximal ileum (trunk-like structure)
	Cloacal exstrophy. Apart from the exposed mucosa hemibladder and terminal ileum, there is also prolapsed of the proximal ileum (trunk-like structure)
	Cloacal exstrophy and associated omphalocele
	Closure of the omphalocele before reconstruction of bladder
	Cloacal exstrophy, bladder is dissected free from the anterior abdominal wall before bladder turn-in and abdominal wall closure
	Reconstruction of cloacal exstrophy composes of : 1. Separation of bladder and ileum 2. Reconstruction of open hemibladder 3. Approximation of pubic rami 4. Abdominal wall closure 5. Reconstruction urethra and bladder neck 6. End ileostomy
	Reconstruction of cloacal exstrophy composes of : 1. Separation of bladder and ileum 2. Reconstruction of open hemibladder 3. Approximation of pubic rami 4. Abdominal wall closure 5. Reconstruction urethra and bladder neck 6. End ileostomy
	After first stage operation - closure of the exstrophied bladder, the bifid and small penis is found difficult for reconstruction
	Bilateral orchiectomy and vaginal construction, inversion of skin flap, are done in exstrophied bladder with severe deformed penis. Female gender is assigned for this patient