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No patients experienced urinary tract infections prior to repair. Delaying first-stage exstrophy repair to allow physiologic optimization is safe. All repaired patients were discharged home, without parenteral nutrition or supplemental oxygen. Delaying first-stage exstrophy repair to allow physiologic optimization is safe. All repaired patients were discharged home, without parenteral nutrition or supplemental oxygen.Aerobic fermentation composting can transform solid organic waste into biological organic fertiliser, while reducing reso