Skip to content
knowrare
HealthSignal
Your condition community

Living with Bladder exstrophy

A condition present from birth in which the bladder is open on the outside of the lower belly.

Understanding Bladder exstrophy

Bladder exstrophy is a birth difference in which the bladder plate is open, part of the exstrophy-epispadias complex.

It includes an open bladder plate, epispadias (an opening of the urethra in an unusual place), and a gap in the pelvis, pelvic floor, and belly wall. It is seen in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Open bladder plate (bladder exstrophy)
  • Urethra opening in an unusual place (epispadias)
  • Repeated urinary tract infections
  • Urine flowing back toward the kidneys (reflux)
  • Hernias near the groin or belly button
  • Differences in the anus or genitals

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, kidney specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Association for the Bladder Exstrophy Community and Fetal Health Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: Association for the Bladder Exstrophy Community, Fetal Health Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Association for the Bladder Exstrophy Community and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which specialists (urology, surgery) should manage my child's care?
How will you watch for urinary infections and kidney health?
Is genetic counseling useful for our family?

Quick facts

Symptoms usually startNewborn and as an Infant

Changes in genes cause this condition. GARD doesn't name a specific gene yet.

GeneticKidneyUrinary and Reproductive

Also known as: bladder exstrophy (disease); bladder exstrophy-epispadias-cloacal exstrophy complex; classic exstrophy of the bladder; congenital ectopic bladder; congenital extroversion of urinary bladder; ectopia vesicae

Patient organizations

Source: NIH GARD · Bladder exstrophyGARD ID 6398 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Bladder exstrophy.

Explore the Bladder exstrophy blog

Explore research for Bladder exstrophy

Explore actively recruiting Bladder exstrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Bladder exstrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Bladder exstrophy studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Bladder exstrophy

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Bladder exstrophy

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Bladder exstrophy experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.