In babies with this birth defect, the pelvic bones are wider apart than normal. Many pelvic organs have not formed in the typical way. The baby’s bladder and part of their intestines are outside the wall of their belly. The intestine may be shorter than normal, and the anus may not be open. The penis in boys and the clitoris and vagina in girls may be divided in two. Often, babies with cloacal extrophy have other birth defects, too, such as spina bifida.