The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son.The nurse replies based on what knowledge?

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After repair of the bladder exstrophy,the child's bladder is allowed to increase capacity.Several surgical procedures may be necessary to create a urethral sphincter mechanism to aid in urination and ejaculation.With the lack of a urinary sphincter,toilet training is unlikely.The child cannot hold the urine in the bladder.Bladder capacity is one component of continence.A functional sphincter is also needed.

The Parents of a 2-Year-Old Boy Who Had a Repair