“…This urethral opening was draining the underlying normal bladder located posterior to the exstrophy bladder patch. 3 In this case, the hypospadias is associated with a superior vesical fissure, which is the first case in the literature. This is the congenital anomaly of a variant of bladder exstrophy involving the urinary system, musculoskeletal system, pelvic floor, abdominal wall, and genitalia, as in this case of hypospadias.…”