An anomaly of the external genitalia in female patients with exstrophy of the bladder

Exstrophy of the bladder is a rare anomaly which affects both males and females. Some affected females have an associated anomaly of the external genitalia which, while allowing menstruation, is sufficiently disabling to prevent sexual activity. Hitherto little attention has been given to the genital portion of this anomaly and its correction, probably due to the early death of patients with exstrophy. With improved prognosis, the anomaly of the external genitalia has become of importance. This article estimates its frequency and describes the anomaly and its surgical correction.