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Inequalities in healthcare access: how a man with exstrophy in rural India coped
  1. Siddharth Pandey,
  2. Deepanshu Sharma,
  3. Bhupender Pal Singh,
  4. Apul Goel
  1. Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Siddharth Pandey, sid1420{at}


We report a case of a 22-year-old man with adult exstrophy. The patient made a self-made urine collection device, which helped him to lead a normal life, carrying out his routine as well as occupational activities smoothly. This patient is a prime example of inequalities in healthcare distribution in low-income and middle-income countries. He was never taken to a proper medical centre to correct his condition nor was his mother ever given proper antenatal healthcare access. His background of being a poor person from rural India highlights the problems of inequalities in healthcare access.

  • healthcare improvement and patient safety
  • urology

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  • Contributors SP conceived the case report. SP and DS were major contributors towards writing the manuscript. BPS, AG and SP interpreted the patient data. SP and DS were involved in the review. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.