Adenocarcinoma of the bladder in a boy

The first case of adenocarcinoma of the bladder in a boy is described. Clinically, there were red friable granular areas over an exstrophic bladder. Multiple bladder biopsies revealed adenocarcinoma, which was treated with total cystoprostatectomy, ureterosigmoidostomy and reconstruction of the epispadias with a good result. In view of the early malignant change in an exstrophic bladder it is advantageous to perform multiple bladder biopsies, especially in older children before undertaking surgical treatment. These biopsies would help to detect the early malignant change and determine the plan of treatment.