Urinary bladder collects in the bladder, fed from the two ureters that connect the bladder with the kidneys. Urine leaves the bladder via the urethra, a single muscular tube ending in an opening – the urinary meatus, where it exits the body. Anatomists divide the bladder into:. The apex (prev."vertex") is directed forward toward the upper part of the pubic symphysis, and from there the median umbilical ligament continues upward on the back of the anterior abdominal wall to the umbilicus. The peritoneum is carried by it from the apex on to the abdominal wall to form the middle umbilical fold. The
Bladder exstrophy and, most importantly, an indication that the child is interested in becoming continent. In some of the bladder reconstructions, the bladder is augmented with the addition of a segment of the large intestines to increase the volume capacity of the reconstructed bladder. (http://www.med.umich.edu/1libr/urology/BladderAugmentation.pdf) In the complete primary repair of exstrophy (CPRE) the bladder closure is combined with an epispadias repair, in an effort to decrease costs and morbidity. This technique has, however, led to significant loss of penile and corporal tissue, particularly in younger patients. In females treatment has included: Surgical reconstruction of the clitoris which is separated into two