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The use of the appendix is a safe and feasible option for ureteral reconstruction in appropriately selected adult patients when primary ureteral repair is not possible. The use of the appendix is a safe and feasible option for ureteral reconstruction in appropriately selected adult patients when primary ureteral repair is not possible. To report our single center experience in the management of untreated adult classical bladder exstrophy. A retrospective review of 25 adults aged ≥18 years who underwent repair of the cla