The study focuses on the surgical treatment of bladder exstrophy, a congenital condition where the bladder is located outside the body. It examines the use of modified diagonal pelvic osteotomy combined with an external fixator as a treatment approach. This method aims to improve pelvic support and facilitate proper bladder reconstruction. The study likely evaluates the outcomes, complications, and overall effectiveness of this surgical technique in enhancing patient quality of life and functional results. Key findings may include insights into recovery times, rates of successful bladder closure, and potential long-term benefits for patients.

Inclusion Criteria:

1. age: all cases of delayed exstrophy repaior
2. sex : both gender
3. children who received no operative treatment befor

Exclusion Criteria:

1. previous pelvic surgery
2. sever comorbidities