Outcome analysis of isolated male epispadias: single center experience with 33 cases

The Journal of Urology
Luis H P BragaJoao L Pippi Salle

Abstract

We review our results with isolated male epispadias repair, comparing the Cantwell-Ransley and Mitchell-Bagli procedures in regard to continence status and postoperative complications. We reviewed the charts of 33 patients presenting with isolated epispadias (glanular in 3, penile in 9, penopubic in 21) between 1994 and 2005. Of the 21 patients with penopubic epispadias Cantwell-Ransley repair was performed in 14 and Mitchell-Bagli repair was done in 7. Mean patient age at epispadias repair was 16.8 months (range 12 to 24) and 19.3 months (9 to 42) for the Cantwell-Ransley and Mitchell-Bagli operations, respectively. After epispadias repair in the Mitchell-Bagli group 4 of 6 patients (67%) became continent vs 0 of 13 in the Cantwell-Ransley group (p <0.01). Bladder neck repair was performed in 11 of 13 children (85%) who underwent a Cantwell-Ransley repair. Of these 11 boys 6 became continent. Hence, 3 of the 5 patients who failed the first bladder neck repair underwent a second bladder neck repair with augmentation cystoplasty to achieve dryness (dry more than 4 hours). The other 2 patients are on clean intermittent catheterization and have 2 to 4-hour dry intervals. After undergoing a Mitchell-Bagli epispadias repair 2 patien...Continue Reading

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Citations

Oct 11, 2016·BioMed Research International·Anne-Francoise SpinoitPiet Hoebeke
Feb 24, 2019·International Urology and Nephrology·Smail Acimi, Mohammed Ali Acimi
May 1, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Dr Amilal BhatDr Bilal Ahmed Dar

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