Di Carlo HN, et al. - Researchers presented the surgical and long-term urinary continence outcomes of poor template classic bladder exstrophy (CBE) patients undergoing delayed primary closure (DPC) and compared them to patients who underwent DPC for reasons unrelated to bladder quality (ie, prematurity, comorbidities, or a late referral). Findings demonstrated a high rate of success with DPC of the exstrophic bladder when the pelvic osteotomy was utilized as an adjunct. Comparable rates of bladder growth were seen in patients having a DPC for reasons of an inadequate bladder template when compared to DPC of an adequate bladder template. Impact of the inadequate bladder template on the type of continence procedure was seen, with the majority of patients requiring urinary diversion for continence. A later age of first continence procedure and a relatively later age of continence was seen in patients with an inadequate bladder template, because of an inherently smaller bladder template at birth. A longer period of surveillance was required by the inadequate bladder template patients to access bladder growth and capacity in preparation of a continence procedure. Moreover, as a catheterizable channel for continence was required by the majority of inadequate bladder template patients, there was a likeliness of the age of continence to be influenced by the patient’s preparation as they transition from volitional voiding to catheterization.