Bladder exstrophy and ileal conduit
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History of abnormal gait, continuous dribbling of urine, deficient lower abdominal muscles and ambiguous genitalia.
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Contrast is injected into the ileal conduit as a neobladder.
Widely separated pubic bones with absent symphysis pubis.
Bilateral hip deformity and right iliac bone exostosis also are seen.
Bladder exstrophy is characterized by a deficient lower anterior abdominal wall along with the urinary bladder anterior wall.
Widely separated pubic bones with absent symphysis pubis are the other associated bony findings.
Surgical repair is the choice treatment to close the defect and to improve patients quality of life by preventing urinary dribbling, recurrent urinary tract infections leading to renal failure and in long-standing patient cases to prevent malignant transformation due to repeated irritation.