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Exstrophy is an uncommon congenital bladder anomaly that results when the tissue making up the abdominal wall is deficient and the bladder is a flat sheet on the abdominal wall instead of a sphere inside the pelvis. Urine leaks out of the abdominal wall from the exposed ureteral orifices. This is associated with pubic separation and epispadias, which is a severe congenital curvature and foreshortening of the penis.
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