Summary
Introduction
Complete female epispadia (CFE) is a rare congenital anomaly occurring in 1 of 500,000
live births. The goals of CFE management include achieving continence, while protecting
the kidneys, and creating functional, cosmetic external genitalia.
Patient and methods
We demonstrate in this video the steps of the surgery and present midterm follow-up
of a 6-year-old child with CFE.
Results and discussion
The patient had an excellent cosmetic result, and reported continence of 3 h period
with mild leakage. The perineal infrapubic approach offers the possibility of restoring
cosmesis and providing resistance in one surgery precluding the need for abdominal
bladder neck surgery.
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References
- Exstrophyepispadias complex.in: 10th ed. Campbell-Walsh Urology. vol. 4. Saunders, Philadelphia2012: 3325-3378 (chapt 124)
- Single-stage perineal urethroplasty for continence in female epispadias: a preliminary report.Urology. 2008; 72: 300-304
- Female epispadias managed by bladder neck plication via a perineal approach.J Pediatr Urol. 2012; 8: 244
- Single-stage subsymphyseal cystoscopic-guided bladder neck plication and urethrogenitoplasty in female epispadias: presentation of long-term follow-up.BJU Int. 2011; 108: 1200-1207
Article info
Publication history
Published online: February 19, 2015
Accepted:
August 21,
2014
Received:
August 19,
2014
Identification
Copyright
© 2015 Journal of Pediatric Urology Company. Published by Elsevier Inc. All rights reserved.
