Bladder Exstrophy Program

Caregiver Profile

Bladder Exstrophy Program

Learn more about the Bladder Exstrophy Program

Caregiver Profile

Meet Dr. Joseph G. Borer


Undergraduate Degree

  • St. Bonaventure University , 1985 , Bonaventure , NY

Medical School

  • State University of New York at Syracuse , 1989 , Syracuse , NY


  • State University of New York at Brooklyn , 1990 , Brooklyn , NY


  • State University of New York at Brooklyn , 1992 , Brooklyn , NY


  • State University of New York at Brooklyn , 1996 , Brooklyn , NY


  • Boston Children's Hospital , 1997 , Boston , MA


  • Boston Children's Hospital , 1998 , Boston , MA


Dr. Borer is a pediatric urologist and urologic surgeon with a specialized interest in the care of patients with complex urologic problems. He also specializes in major reconstructive surgery using standard and minimally invasive techniques. Most of his time is devoted to delivering specialized clinical care to patients, and teaching residents and fellows. The remaining time is spent on advancing the field through research, and creating and overseeing new models of care. His recent work has involved development of the Bladder Exstrophy Program, which has allowed him to publish significant outcomes data on many aspects of care of these complex children.

In his positions as the first incumbent Reconstructive Urologic Surgery Chair and the Director of the Bladder Exstrophy Program, Co-Director of the Robotics Program, and the Director of Neurourology and Urodynamics, he is uniquely positioned to continue the efforts of current and future optimization of care for infants, children and young adults with complex genitourinary anomalies.

Dr. Borer presents his work nationally with colleagues at the American Academy of Pediatrics Section on Urology, American Urological Society, and the Society for Pediatric Urology and internationally at the European Society for Pediatric Urology and recent Bladder Exstrophy Workshop in Casablanca, Morocco. He and his team have published meaningful findings on evaluation, management and psychosocial aspects of care for these children extending from prenatal diagnosis into adulthood.

In addition to clinical and teaching responsibilities, Dr. Borer is participating in several ongoing basic and translational research projects including the characterization of mouse models to dissect the molecular basis of lower urinary tract morphogenesis during development. Dr. Borer is also Co-PI on a project involving genetic analysis of patients with epispadias, bladder exstrophy, cloacal exstrophy and cloacal malformation using state-of-the-art genome sequencing approaches.


  • American Board of Urology, Pediatric Urology


Publications powered by Harvard Catalyst Profiles

  1. Bilateral ureteral reimplantation at complete primary repair of exstrophy: Post-operative outcomes. J Pediatr Urol. 2021 Oct 18. View abstract
  2. The Richard Grady Monsplasty: A vertical Z-plasty technique. J Pediatr Urol. 2021 08; 17(4):575-576. View abstract
  3. Safety of delayed surgical repair of omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex in infants with significant comorbidities. Pediatr Surg Int. 2021 Jan; 37(1):93-99. View abstract
  4. Timing of inguinal hernia following complete primary repair of bladder exstrophy. J Pediatr Urol. 2021 02; 17(1):87.e1-87.e6. View abstract
  5. A New Approach to Cloaca: Laparoscopic Separation of the Urogenital Sinus. J Laparoendosc Adv Surg Tech A. 2020 Dec; 30(12):1257-1262. View abstract
  6. Key anatomic findings on fetal ultrasound and MRI in the prenatal diagnosis of bladder and cloacal exstrophy. J Pediatr Urol. 2020 Oct; 16(5):665-671. View abstract
  7. Necrotizing Fasciitis Following Routine Genitourinary Surgery in Healthy Infants. Urology. 2020 Nov; 145:250-252. View abstract
  8. Evaluation of outcomes following complete primary repair of bladder exstrophy at three individual sites prior to the establishment of a multi-institutional collaborative model. J Pediatr Urol. 2020 Aug; 16(4):435.e1-435.e6. View abstract
  9. A single-institution experience of complete primary repair of bladder exstrophy in girls: risk factors for urinary retention. J Pediatr Urol. 2019 May; 15(3):262.e1-262.e6. View abstract
  10. Anatomic findings associated with epispadias in boys: Implications for surgical management and urinary continence. J Pediatr Urol. 2018 02; 14(1):42-46. View abstract
  11. Short-term outcomes of the multi-institutional bladder exstrophy consortium: Successes and complications in the first two years of collaboration. J Pediatr Urol. 2017 Jun; 13(3):275.e1-275.e6. View abstract
  12. Editorial Comment. Urology. 2016 Apr; 90:168. View abstract
  13. Sacral agenesis and neurogenic bladder: Long-term outcomes of bladder and kidney function. J Pediatr Urol. 2016 Jun; 12(3):158.e1-7. View abstract
  14. Experience, Expertise and Dedication are Requirements for Successful Outcome in Bladder Exstrophy Care. J Urol. 2016 Jan; 195(1):15. View abstract
  15. An initial report of a novel multi-institutional bladder exstrophy consortium: a collaboration focused on primary surgery and subsequent care. J Urol. 2015 May; 193(5 Suppl):1802-7. View abstract
  16. Semen parameters in adolescents with varicocele: association with testis volume differential and total testis volume. J Urol. 2015 May; 193(5 Suppl):1843-7. View abstract
  17. Editorial comment. J Urol. 2014 Oct; 192(4):1214. View abstract
  18. Bladder exstrophy: current management and postoperative imaging. Pediatr Radiol. 2014 Jul; 44(7):768-86; quiz 765-7. View abstract
  19. Combined cystometrography and electromyography of the external urethral sphincter following complete primary repair of bladder exstrophy. J Urol. 2014 May; 191(5 Suppl):1547-52. View abstract
  20. Health related quality of life in patients with bladder exstrophy: a call for targeted interventions. J Urol. 2014 May; 191(5 Suppl):1553-7. View abstract
  21. Dkk1 in the peri-cloaca mesenchyme regulates formation of anorectal and genitourinary tracts. Dev Biol. 2014 Jan 01; 385(1):41-51. View abstract
  22. Practice patterns and resource utilization for infants with bladder exstrophy: a national perspective. J Urol. 2014 May; 191(5):1381-8. View abstract
  23. Autologous cell seeded biodegradable scaffold for augmentation cystoplasty: phase II study in children and adolescents with spina bifida. J Urol. 2014 May; 191(5):1389-95. View abstract
  24. Are osteotomies necessary for bladder exstrophy closure? J Urol. 2014 Jan; 191(1):13-4. View abstract
  25. A survey to assess body and self-image in individuals with bladder exstrophy: a call for psychosocial support. J Urol. 2013 Oct; 190(4 Suppl):1572-6. View abstract
  26. Editorial comment. J Urol. 2013 May; 189(5):1875. View abstract
  27. Embryonic origin and remodeling of the urinary and digestive outlets. PLoS One. 2013; 8(2):e55587. View abstract
  28. Urological complications and vesicoureteral reflux following pediatric kidney transplantation. J Urol. 2013 Mar; 189(3):1071-6. View abstract
  29. The impact of electrocautery method on post-operative bleeding complications after non-newborn circumcision and revision circumcision. J Pediatr Urol. 2013 Oct; 9(5):634-7. View abstract
  30. Urodynamic findings in patients with Currarino syndrome. J Urol. 2012 Jun; 187(6):2195-200. View abstract
  31. Commentary to 'The modern staged repair of classic bladder exstrophy: a detailed postoperative management strategy for primary bladder closure'. J Pediatr Urol. 2012 Oct; 8(5):556. View abstract
  32. Screening for malignancy after augmentation cystoplasty in children with spina bifida: a decision analysis. J Urol. 2011 Oct; 186(4):1437-43. View abstract
  33. The use of bladder neck reconstruction in bladder exstrophy. Semin Pediatr Surg. 2011 May; 20(2):91-6. View abstract
  34. Bladder neck reconstruction is often necessary after complete primary repair of exstrophy. J Urol. 2011 Jun; 185(6 Suppl):2563-71. View abstract
  35. Urodynamic abnormalities in toilet trained children with primary vesicoureteral reflux. J Urol. 2011 May; 185(5):1863-8. View abstract
  36. Long-term experience and outcomes of robotic assisted laparoscopic pyeloplasty in children and young adults. J Urol. 2011 Apr; 185(4):1455-60. View abstract
  37. Editorial comment. J Urol. 2011 Mar; 185(3):1087; author reply 1087. View abstract
  38. Editorial comment. J Urol. 2010 Oct; 184(4 Suppl):1797-8. View abstract
  39. Risk factors for urinary tract infection after renal transplantation and its impact on graft function in children and young adults. J Urol. 2010 Oct; 184(4):1462-7. View abstract
  40. Management of recurrent urethral strictures after hypospadias repair: is there a role for repeat dilation or endoscopic incision? J Pediatr Urol. 2011 Feb; 7(1):34-8. View abstract
  41. Biofeedback training for lower urinary tract symptoms: factors affecting efficacy. J Urol. 2009 Oct; 182(4 Suppl):2050-5. View abstract
  42. Ultrasound versus computerized tomography for evaluating urolithiasis. J Urol. 2009 Oct; 182(4 Suppl):1829-34. View abstract
  43. What is the optimal surgical strategy for bulbous urethral stricture in boys? J Urol. 2009 Oct; 182(4 Suppl):1755-8. View abstract
  44. Nomograms for predicting annual resolution rate of primary vesicoureteral reflux: results from 2,462 children. J Urol. 2009 Oct; 182(4):1535-41. View abstract
  45. Stress and coping of parents of young children diagnosed with bladder exstrophy. J Urol. 2009 Mar; 181(3):1312-6; discussion 1317. View abstract
  46. Robot assisted laparoscopic partial nephrectomy: a viable and safe option in children. J Urol. 2009 Feb; 181(2):823-8; discussion 828-9. View abstract
  47. Varicocele surgery: a decade's experience at a children's hospital. BJU Int. 2009 Jul; 104(2):246-9. View abstract
  48. Prospective followup in patients after complete primary repair of bladder exstrophy. J Urol. 2008 Oct; 180(4 Suppl):1665-70; discussion 1670. View abstract
  49. Robot-assisted laparoscopic ureteroureterostomy: description of technique. J Endourol. 2008 Apr; 22(4):581-4, discussion 585. View abstract
  50. Concurrent management of bilateral ureteropelvic junction obstruction in children using robotic-assisted laparoscopic surgery. Int Braz J Urol. 2008 Mar-Apr; 34(2):198-204; discussion 204-5. View abstract
  51. Minimally invasive surgical approaches to retrovesical structures. Int J Med Robot. 2007 Dec; 3(4):307-11. View abstract
  52. Children's Hospital Boston's Center for Bladder Exstrophy Care & Support team live interactive (webcast) discussion on exstrophy of the bladder. 2007. View abstract
  53. Relationship of varicocele grade and testicular hypotrophy to semen parameters in adolescents. J Urol. 2007 Oct; 178(4 Pt 2):1584-8. View abstract
  54. Contemporary outcomes in bladder exstrophy. Curr Opin Urol. 2007 Jul; 17(4):272-80. View abstract
  55. Early results of robot assisted laparoscopic lithotomy in adolescents. J Urol. 2007 Jun; 177(6):2306-9; discussion 2309-10. View abstract
  56. Robotic surgery in the pediatric airway: application and safety. Arch Otolaryngol Head Neck Surg. 2007 Jan; 133(1):46-50; discussion 50. View abstract
  57. Complications of hypospadias surgery. Complications of urologic surgery and practice: diagnosis, prevention, and management. (Loughlin KR, editor). 2007; 1:271-282. View abstract
  58. Complications of exstrophy and epispadias surgery. Complications of urologic surgery and practice: diagnosis, prevention, and management. (Loughlin KR, editor). 2007; 1:295-302. View abstract
  59. The undescended testicle. Mastery of Surgery. (Fischer JE, Editor. Bland KI, Associate editor). 2007; 2:1760-1768. View abstract
  60. Bladder and external urethral sphincter function after prenatal closure of myelomeningocele. J Urol. 2006 Nov; 176(5):2232-6. View abstract
  61. Robotic surgery for ureteropelvic junction obstruction. Curr Opin Urol. 2006 Jul; 16(4):291-4. View abstract
  62. Pediatric robot assisted laparoscopic dismembered pyeloplasty: comparison with a cohort of open surgery. J Urol. 2006 Feb; 175(2):683-7; discussion 687. View abstract
  63. Neurogenic bladder dysfunction after sacrococcygeal teratoma resection. J Urol. 2006 Jan; 175(1):292-6; discussion 296. View abstract
  64. Renal biopsy in congenital ureteropelvic junction obstruction: evidence for parenchymal maldevelopment. Kidney Int. 2006 Jan; 69(1):137-43. View abstract
  65. Testicular hypotrophy does not correlate with grade of adolescent varicocele. J Urol. 2005 Dec; 174(6):2367-70, discussion 2370. View abstract
  66. Voiding dysfunction: outcome in infants with congenital vesicoureteral reflux [editorial]. Urology. 2005; 66(5):1094. View abstract
  67. Intermittent testicular torsion: diagnostic features and management outcomes. J Urol. 2005 Oct; 174(4 Pt 2):1532-5; discussion 1535. View abstract
  68. Balanitis xerotica obliterans in boys. J Urol. 2005 Oct; 174(4 Pt 1):1409-12. View abstract
  69. Bladder growth and development after complete primary repair of bladder exstrophy in the newborn with comparison to staged approach. J Urol. 2005 Oct; 174(4 Pt 2):1553-7; discussion 1557-8. View abstract
  70. Early outcome following complete primary repair of bladder exstrophy in the newborn. J Urol. 2005 Oct; 174(4 Pt 2):1674-8; discussion 1678-9. View abstract
  71. Magnetic resonance imaging of pelvic musculoskeletal and genitourinary anatomy in patients before and after complete primary repair of bladder exstrophy. J Urol. 2005 Oct; 174(4 Pt 2):1559-66; discussion 1566. View abstract
  72. The failed complete repair of bladder exstrophy: insights and outcomes [editorial]. J Urol. 2005; 174(4 (Part 2 of 2)):1672. View abstract
  73. Pediatric retroperitoneal laparoscopic partial nephrectomy: comparison with an age matched cohort of open surgery. J Urol. 2005 Aug; 174(2):708-11; discussion 712. View abstract
  74. Is adolescent varicocele a progressive disease process? J Urol. 2004 Oct; 172(4 Pt 2):1746-8; discussion 1748. View abstract
  75. Current management of bladder exstrophy. Curr Urol Rep. 2004 Apr; 5(2):137-41. View abstract
  76. Bladder function. Male external genitalia. Female genital tract. Ambiguous genitalia. Principles of Pediatric Surgery. Borer JG, associate editor. O’Neill JA, Jr, Grosfeld JL, Fonkalsrud EW, Coran AG, Caldamone AA, editors. 2004. View abstract
  77. Neonatal scrotal haematoma: mimicker of neonatal testicular torsion. BJU Int. 2003 May; 91(7):675-7. View abstract
  78. Fibroepithelial polyps causing ureteropelvic junction obstruction in children. J Urol. 2003 May; 169(5):1834-6. View abstract
  79. A nuclear form of the heparin-binding epidermal growth factor-like growth factor precursor is a feature of aggressive transitional cell carcinoma. Cancer Res. 2003 Jan 15; 63(2):484-90. View abstract
  80. Vesicoureteral reflux. Atlas of clinical urology. Poppas D, Retik AB, Vaughan ED Jr, Perlmutter A, editors. 2003; IV:23-36. View abstract
  81. Multicystic dysplastic kidney. Manual of Neonatal Surgical Intensive Care. Hansen AR, Puder M, editors. 2003; 334-341. View abstract
  82. Tubularized incised plate urethroplasty for repair of proximal hypospadias. Atlas Urol Clin. 2003; 11:7-15. View abstract
  83. Rate and predictors of spontaneous resolution of prenatally diagnosed primary nonrefluxing megaureter. J Urol. 2002 Nov; 168(5):2177-80; discussion 2180. View abstract
  84. The outcome of voiding dysfunction managed with clean intermittent catheterization in neurologically and anatomically normal children. BJU Int. 2002 Jun; 89(9):923-7. View abstract
  85. Testicular volume: comparison of orchidometer and US measurements in dogs. Radiology. 2002 Jan; 222(1):114-9. View abstract
  86. Reoperative surgery for hypospadias with tubularized incised plate urethroplasty. Reoperative hypospadias: a spectrum of challenges. Diologues in Pediatric Urology. Snodgrass WT, guest editor. 2002; 2-4. View abstract
  87. Hypospadias. Campbell's Urology. Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, editors. 2002; 3:2284-2333. View abstract
  88. Tubularized incised plate urethroplasty: expanded use in primary and repeat surgery for hypospadias. J Urol. 2001 Feb; 165(2):581-5. View abstract
  89. Trauma to the genitourinary system. Posterior urethral valves. Hypospadias. Voiding dysfunction. Available from the Center for General Pediatric Urology page 2001. View abstract
  90. Pediatric urology: vesicoureteral reflux and megaureter. Objectives for Urology Residency Education. American Urological Association. 2001. View abstract
  91. Improving outcome in pediatric bladder replacement surgery. Contemporary Urology. 2001; 13:75-91. View abstract
  92. Management of distal hypospadias. Campbell's Urology Update #4. Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, editors. 2001. View abstract
  93. 99m Technetium dimercapto-succinic acid renal scintigraphy abnormalities in infants with sterile high grade vesicoureteral reflux. J Urol. 2000 Nov; 164(5):1674-8; discussion 1678-9. View abstract
  94. The spectrum of Sertoli cell tumors in children. Urol Clin North Am. 2000 Aug; 27(3):529-41. View abstract
  95. Ketorolac suppresses postoperative bladder spasms after pediatric ureteral reimplantation. Anesth Analg. 2000 Jul; 91(1):11-5. View abstract
  96. Pediatric retroperitoneoscopic nephrectomy. J Endourol. 2000 Jun; 14(5):413-6; discussion 417. View abstract
  97. Primäre hypospadie-versorgung und rezidiv-hypospadie-korrektur nach der Snodgrass-technik. [Primary and reoperative hypospadias repair with the Snodgrass technique.]. Aktuel Urol. 2000; 31:174-180. View abstract
  98. Endoscopic retroperitoneal nephrectomy. Pediatr Endosurg Innovat Tech. 2000; 4:229-236. View abstract
  99. Ureteral reimplantation. Operative urology: surgical skills. Krane RJ, Siroky MB, Fitzpatrick JM, editors. 2000; 99-106. View abstract
  100. Penile reconstruction: current status. Dialogues in pediatric urology. Borer JG, guest editor. 2000; 1-8. View abstract
  101. Amphiregulin is coordinately expressed with heparin-binding epidermal growth factor-like growth factor in the interstitial smooth muscle of the human prostate. Endocrinology. 1999 Dec; 140(12):5866-75. View abstract
  102. Amphiregulin Is Coordinately Expressed with Heparin-Binding Epidermal Growth Factor-Like Growth Factor in the Interstitial Smooth Muscle of the Human Prostate1. Endocrinology. 1999 Dec 01; 140(12):5866-5875. View abstract
  103. Heparin-binding EGF-like growth factor expression increases selectively in bladder smooth muscle in response to lower urinary tract obstruction. Lab Invest. 1999 Nov; 79(11):1335-45. View abstract
  104. Pediatric retroperitoneoscopic nephrectomy using 2 mm. instrumentation. J Urol. 1999 Nov; 162(5):1725-9; discussion 1730. View abstract
  105. Current trends in hypospadias repair. Urol Clin North Am. 1999 Feb; 26(1):15-37, vii. View abstract
  106. Renal findings on radiological followup of patients with Beckwith-Wiedemann syndrome. J Urol. 1999 Jan; 161(1):235-9. View abstract
  107. Prone retroperitoneoscopic nephrectomy and retroperitoneal surgery [videocassette]. 1999. View abstract
  108. Disorders of the bladder and urethra. Burg FD, Ingelfinger JR, Wald ER, Polin RA, editors. Gellis & Kagan’s Current Pediatric Therapy. 1999; 843-849. View abstract
  109. Stretch activates heparin-binding EGF-like growth factor expression in bladder smooth muscle cells. Am J Physiol. 1998 11; 275(5):C1247-54. View abstract
  110. Large-cell calcifying Sertoli cell tumor of the testis: case report and review of the literature. Urology. 1998 Sep; 52(3):520-2; discussion 522-3. View abstract
  111. A single-system ectopic ureter draining an ectopic dysplastic kidney: delayed diagnosis in the young female with continuous urinary incontinence. Br J Urol. 1998 Mar; 81(3):474-8. View abstract
  112. Age specific prostate specific antigen reference ranges: population specific. J Urol. 1998 Feb; 159(2):444-8. View abstract
  113. Primary and reoperative hypospadias repair with the Snodgrass technique. World J Urol. 1998; 16(3):186-91. View abstract
  114. Management of posterior urethral valves on the basis of urodynamic findings. J Urol. 1997 Sep; 158(3 Pt 2):1011-6. View abstract
  115. Management of vesicoureteral reflux. Campbell's Urology Update #23. Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, editors. 1997. View abstract
  116. Circumcision: successful glanular reconstruction and survival following traumatic amputation. J Urol. 1996 Aug; 156(2 Pt 2):842-4. View abstract
  117. Applied stapling technique in radical retropubic prostatectomy: efficient, effective and efficacious. J Urol. 1996 Mar; 155(3):1008-10. View abstract
  118. Mixed gonadal dysgenesis and dysgenetic male pseudohermaphroditism. J Urol. 1995 Apr; 153(4):1267-73. View abstract
  119. Unilateral multicystic dysplasia in 1 component of a horseshoe kidney: case reports and review of the literature. J Urol. 1994 Nov; 152(5 Pt 1):1568-71. View abstract
  120. Unilateral single vaginal ectopic ureter with ipsilateral hypoplastic pelvic kidney and bicornuate uterus. J Urol. 1993 May; 149(5):1124-7. View abstract
  121. Relationship between determinants of oxygen delivery and respiratory abnormalities in preterm infants with anemia. J Pediatr. 1992 Feb; 120(2 Pt 1):292-6. View abstract