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Exstrophy variants are uncommon developmental anomalies, with the inferior vesical variant being the rarest among them. We present the case of a 1-year-old continent boy with an inferior vesical fistula (IVF) with solitary kidney and ureterocele where simple closure was done followed by a normal micturition pattern. Only two cases of IVF have been reported yet, ours being the first with solitary kidney and ureterocele.