Pregnancy associated with exstrophy of the bladder and obstructive renal failure

I have reported a case of pregnancy in a patient with exstrophy of the bladder. Early establishment of renal function and status is most important, and detailed counseling of the patient is preferred ideally before conception. The patient should be reassured that her defect has not been proven to have a genetic link. Patients with ureterosigmoidostomy diversion should be observed closely for renal obstructive symptoms.