Urinary bladder an organ that regularly stores a hyperosmotic concentration of urine. It therefore is relatively impermeable and has multiple epithelial layers. The urinary bladder of the cetaceans (whales and dolphins) is proportionally smaller than that of land-dwelling mammals. In the whole class of Aves there is no urinary bladder per se. Although all birds have kidneys, the ureters open directly into a cloaca which serves as a reservoir for urine, fecal matter, and eggs. In crustaceans, the urinary bladder consists of two sets of lateral and central lobes. Urinary bladder The urinary bladder is a hollow muscular organ in humans and
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