Bladder augmentation using a duplicated colonic segment in a patient with a skin-covered variant of classic bladder exstrophy: A case report

Covered variant is a rare form of bladder exstrophy where a portion or all of the bladder is covered with skin. We present the longitudinal surgical care of a 12-year-old male with concomitant skin-covered exstrophy variant, bifid phallus, and an incidentally discovered duplicated descending colonic system. He underwent elective continence procedure consisting of bladder augmentation utilizing the duplicated bowel segment, bladder neck transection and Mitrofanoff appendicovesicostomy. This case emphasizes the need for multidisciplinary care in the continuing management of complex bladder exstrophy cases.