# Exstrophy Epispadias.Php
**Source:** https://drsujitchowdhary.com/service/exstrophy-epispadias.php
**Language:** Arabic

---

# Bladder Exstrophy & Epispadias Treatment in Delhi

المنزل  / الخدمات  / الفتق المثاني والإفراغي

![Bladder Exstrophy Medical Diagram](../assets/images/services/exstrophy-epispadias.jpg)

### فهم الإكستروفي والإصبعية

ال bladder exstrophy and epispadias complex (BEEC) is a severe, rare congenital malformation where the lower abdominal wall fails to close, leaving the anterior bladder wall split open and exposed. Epispadias refers to the associated open urethral plate anomaly on the upper side of the penis or clitoris.

When seeking specialized **Bladder Exstrophy & Epispadias treatment in Delhi**, parents require a master pediatric reconstructive urologist capable of restoring abdominal closure, urinary continence, and genital form. With over 31+ years of surgical experience, الدكتور سوجيت شودري  is recognized as one of the few urologists in India specialized in complex exstrophy reconstruction.

### أسباب الإسباديا الإكستروفية

The condition develops during early embryonic gestation due to mesodermal migration failure:

- **Cloacal Membrane Rupture:** Premature breakdown of the cloacal membrane before abdominal wall closure (first 4-8 weeks of pregnancy).
- **Pelvic Diastasis:** Widely separated pubic bones causing rectus muscle diastasis and flattened pelvic floor musculature.
- **Multifactorial Etiology:** Combination of subtle genetic predisposition and early gestational factors.

### Signs and Symptoms

Clinical features obvious at birth include:

- **Exposed Bladder Template:** Bright red, moist bladder mucosa protruding on the lower abdominal wall.
- **Continuous Urine Leakage:** Urine continuously dripping directly from open ureteric orifices.
- **Dorsal Urethral Defect:** Open urethral groove along the top of a short, broad penis in boys, or split clitoris and labia in girls (resembling genital malformations).

### أهمية التدخل المبكر

Timely diagnosis and expert **Bladder Exstrophy & Epispadias in Children** management within the first few days of life is critical to close the open bladder template safely before fibrous scarring or pelvic rigidity occurs. Early primary closure protects the upper kidneys and optimizes bladder capacity growth.

### نهج الرعاية الشاملة

Our center in Vasant Vihar, New Delhi, offers specialized reconstructive options:

- **Complete Primary Repair (CPRE):** Neonatal closure combining bladder internal placement, pelvic ring approximation, and epispadias repair.
- **Modern Staged Reconstruction (MSER):** Staged pathway including neonatal closure, penile reconstruction, and later bladder neck tightening.
- **Continent Reconstruction:** Mitrofanoff continent channel or augmentation for small-capacity bladders (similar to neuropathic bladder care).

#### خدمات أخرى

- جراحة الإحليل التحتاني
- جراحة الأطفال الروبوتية
- UTI Treatment
- ارتجاع بولي مثاني
- الفتق والقيلة الاستسقاء
- الاستسقاء الكلى
- انسداد الحالب الكلوي
- الشبم
- المثانة العصبية
- خلل التبول
- نظام الكلى المزدوج
- PUV
- جراحة المسالك البولية بالمنظار للأطفال والحصوات
- الفتق المثاني والإفراغي

#### هل تحتاج إلى استشارة؟

احجز موعدًا مع الدكتور سوجيت تشودري اليوم.

احجز الآن

#### رعاية متقدمة

## خيارات العلاج

### إغلاق المثانة حديثي الولادة

Infolding and internalizing the bladder template and abdominal wall, supported by gentle pelvic bone approximation.

### Epispadias Genital Repair

Reconstructing the open urethral channel and corporoplasty to restore anatomical penile length, straightness, and appearance.

### إعادة بناء عنق المثانة

Micro-tightening the urinary sphincter at age 4-5 to create resistance and enable voluntary daytime dryness.

#### Step-by-Step

## العملية الجراحية

#### 01. Neonatal Primary Closure

Executed within 48 hours of birth to close the open bladder and abdominal wall while pelvic bones remain flexible.

#### 02. Urethral & Genital Correction

Performed at 12-18 months to tubulize the open dorsal urethra and correct penile chordee or clitoral duplication.

#### 03. Continence & Follow-Up

Sphincter reconstruction and structured biofeedback training at age 4-5 to establish voluntary bladder control.

#### قصص نجاح

## اسمع من الآباء

"Bladder exstrophy is a frightening diagnosis, but finding Dr. Sujit for Bladder Exstrophy & Epispadias treatment in Delhi gave us hope—his primary closure and pelvic repair were completely successful."

##### نيتين جي.

أب

"Dr. Chowdhary's expertise in treating Bladder Exstrophy & Epispadias in Children is unmatched. Our son's epispadias repair achieved excellent functional and cosmetic results."

##### بريانكا ك.

أم

"إن التفاني الذي يُظهره الدكتور تشودري لمرضى المثانة المفتوحة أمر لا يصدق. لقد منحتنا خطة إعادة البناء التدريجية لطفلنا حياة طبيعية."

##### هاريش بال

أب

"دقة جراحة الدكتور شودهاري لا تصدق. ثقته منحتنا راحة بال كبيرة خلال وقت عصيب للغاية."

##### أنيتا شارما

أم

سافرنا من مدينة أخرى فقط للدكتور تشودري. منهجه علمي ومنهجي للغاية ولكنه عطوف جدًا.

##### كاران سينغ

ولي الأمر

![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg)

#### أخصائي المسالك البولية

## لماذا تختار الدكتور سوجيت تشودري؟

Complex exstrophy-epispadias reconstruction demands specialized surgical precision across multiple stages. Dr. Sujit Chowdhary provides advanced **Bladder Exstrophy & Epispadias treatment in Delhi** using Complete Primary Repair (CPRE) and Modern Staged Reconstruction (MSER).

- 31+ Years of Exclusive Paediatric Reconstructive Urology Experience.
- Pioneer in complete surgical correction for **Bladder Exstrophy & Epispadias in Children**.
- Recognized master of Complete Primary Repair of Exstrophy (CPRE).
- High expertise in epispadias penile reconstruction and bladder neck tightening.
- Dedicated long-term follow-up care for renal protection and social continence.

تعرف على المزيد عن الطبيب

#### استفسارات شائعة

## الأسئلة الشائعة

##### What is bladder exstrophy and epispadias?

Bladder exstrophy is a severe birth defect where the lower abdominal wall and anterior bladder fail to close, leaving the exposed, open bladder mucosa visible externally. Epispadias is the accompanying defect where the urethra is split open along the top side of the penis or clitoris.

##### When should primary closure of bladder exstrophy be performed?

Primary neonatal closure is ideally performed within the first 48 to 72 hours of life while the infant's pelvic ring remains naturally flexible, avoiding the immediate need for pelvic bone cutting (osteotomy).

##### What is the difference between CPRE and staged reconstruction?

Complete Primary Repair of Exstrophy (CPRE) combines bladder closure, epispadias repair, and bladder neck reconstruction into a single neonatal operation. Modern Staged Reconstruction (MSER) divides repairs into stages over the child's early years.

##### Can a child born with bladder exstrophy achieve complete urinary continence?

Yes. With expert reconstructive surgical techniques, bladder neck tightening, or continent catheterizable channels (Mitrofanoff procedure), the majority of children achieve social urinary continence.

##### Why is long-term pediatric urology follow-up necessary?

Long-term follow-up ensures kidney protection, monitors bladder storage capacity growth, evaluates upper tract drainage, and supports sexual and reproductive maturation into adulthood.

#### تواصل معنا

## احجز موعدًا

تساعد إعادة البناء الوظيفي المرحلي الأطفال المصابين بالإكستروفي المثاني على تحقيق الاحتفاظ بالبول. حدد موعدًا للاستشارة اليوم.

##### عنوان العيادة

D6, Club, 2, مقابل فاسانت فيهار، فاسانت فيهار، نيودلهي، دلهي 110057

##### اتصال للطوارئ

+91 98732 06761

##### ملف جوجل

عرض الملف الشخصي والمراجعات