Complete female epispadia: the case for perineal approach. Journal Articles uri icon

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abstract

  • 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.

authors

  • Macedo, Antonio
  • Leal da Cruz, Marcela
  • Trivelato, Rodrigo
  • Garrone, Gilmar
  • Leslie, Bruno
  • Oliveira, Diego Estevam
  • Souza, Geórgia Rubiane
  • Ortiz, Valdemar

publication date

  • February 2015