[An assessment of the functional results of various forms of surgery for epispadias and exstrophy (author's transl)].

Urinary continence can be achieved by total reconstruction in perhaps 20 percent of patients born with exstrophy of the bladder. Uretero-rectal anastomosis offers a reasonalbe alternative but carries a high morbidity. Cutaneous diversion is the safest form of long-term management, but this involves the life-long penalty of a stoma and the need for appliances. Conservative reconstructive surgery is advocated in the first instance, but repeated surgical procedures may be necessary for a successful result.