<unk> , more properly, the<unk> -epispadias complex is a rare congenital anomality occurring once every 40,000-50,000 live births with a 2:1 male:female ratio.  The diagnosis involves a spectrum of anomalies of the lower abdominal wall,<unk> , anterior bony pelvis, and external genitalia.  It occurs due to failure of the abdominal wall to close during fetal development and results in protrusion of the posterior<unk>  wall through the lower abdominal wall.
Treatment is with surgical correction of the defect, but patients can still have long term issues with urinary tract infections and sexual dysfunction.
Bladder exstrophy
Hypospadias
Omphalocele
Choanal atresia
Imperforate anus
Spigelian hernia
Persistent cloaca
Epispadias