The baby was stabilized in the NICU, investigated and then surgery was planned. The baby needed reconstruction of her Urinary Bladder, Ureters, Vagina, Abdominal wall and the Pelvic bones. In addition, there was a double Vagina and one of them was not open to the exterior, so secretions had collected within it, forming a large abdominal cyst (Duplication of Vagina with Hydrometrocolpos). The Ureters were also double on one side with the end of the ureter like a balloon instead of being like a pipe (Ureterocoel with Duplication). The abdominal wall was also not developed below the umbilicus.

Generally a complex congenital anomaly of this nature would need 4 to 5 surgeries to set it right and even then the result may not be very favourable. Keeping in mind all the options, it was decided to attempt all the surgeries in a single stage itself.

After 6 hours of operation, all the developmental defects were put in place by Dr Dasmit Singh, the Pediatric Surgeon of Pune who is especially known for routinely performing Laparoscopic and Thoracoscopic Surgeries on children and also for Single Stage Repairs of all anomalies, including Hypospadias (Birth defects of the Genitals). The baby needed highly specialized care in the NICU for 3 weeks and made an uneventful recovery.