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A 15-year-old boy, a member of a dance troupe, presented to the outpatient clinic with a 4-month history of dull scrotal pain and stress incontinence.
He had complete bladder exstrophy epispadias complex identified at birth and underwent bladder reconstruction (modified Kelly procedure) at 6 months of age. At 17 months of age, neourethral reconstruction had been undertaken using flaps from pubic skin and he achieved urinary continence.
Physical examination revealed multiple hard, gritty, mobile masses in …
Footnotes
Contributors JSB searched the scientific literature, prepared the figure and wrote the report. HPY cared for and operated on the patient.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.