Repair of Classical Adult Female Exstrophy (Reared as Male) with Management of Surgical and Psychological Issues

There are very few case reports of classical bladder exstrophy (CBE) presenting at an adult age. A 19 years old male patient was admitted with complaints of urinary incontinence since birth and was found out to be a CBE with female gender genetically. She underwent complete genitourinary reconstruction in stages. She needed multiple psychiatric consultations to accept change in the gender. Genitourinary reconstruction with achieved continence in adult exstrophy warrants this presentation.