Urinary Problem

	Second stage reconstruction of exstrophied bladder with vaginal construction using sigmoid colon and rectal pull-through are done to correct imperforate anus at the same time
	Diagram shows vaginal construction using sigmoid colon
	Colon is used to construct the vagina
	Appearance after vaginal construction and pull-through operation
	Plain X-ray showed wide separation of the pubic rami and symphysis (left lower ureteric stone is also noted)
	Plain X-ray showed wide separation of the pubic rami and symphysis (left lower ureteric stone is also noted) Õ
	Micropenis. This normal genetic male (XY) has a tiny, underdeveloped penis with hypospadias
	Ambiguous sex. This baby presents with severe hypospadias, small penis and unilateral testis
	Adrenogenital syndrome. Female pseudohermaphrodism results from adrenocortical hyperplasia presents with enlarged clitoris and labioscrotal fusion
	Cloacal anomaly. There is only one opening for the urethra, vagina and rectovaginal fistula.