FEMALE EPISPADIAS: SPOT DIAGNOSIS AND SIMPLE RECONSTRUCTION

Authors

  • Gul Nawaz
  • Shujah Muhammad
  • Muhammad Imran Jamil
  • Asad Ur Rehman
  • Muhammad Athar Khawaja
  • Ijaz Hussain
  • Mian Khalid Akber
  • Saeed Akhter

Abstract

Isolated female epispadias without bladder exstrophy is a rare congenital anomaly. Patients present with total or partial urinary incontinence. The diagnosis can only be made on careful genitalia examination by separating the labia majora. That is why it is often missed by most physicians even after being extensively investigated. The physical findings include patulous urethra, flattened mons pubis, and bifid clitoris with lack of anterior labial commissure. In most of the cases, single stage reconstruction of urethra, labia minora and clitoris is enough to achieve urinary continence with cosmetically acceptable genitalia.Keywords: Female epispadias, urinary incontinence, single stage repair

References

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Pelzer AE, Akkad T, Schwentner C, Strasser H, Bartsch G, Rehder P. Treatment of adult female epispadias without exstrophy in the presence of rhabdosphincter function. Int J Urol 2006;13:321–2.

Gearhart JP, Peppas DS, Jeffs RD. Complete genitourinary reconstruction in female epispadias. J Urol 1993;149:1110–3.

Hendren WH. Congenital female epispadias with incontinence. J Urol 1981;125:558–64

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Published

2014-12-01

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