
Complete female epispadia: The case for perineal approach
2015; Elsevier BV; Volume: 11; Issue: 1 Linguagem: Inglês
10.1016/j.jpurol.2014.08.013
ISSN1873-4898
AutoresAntónio Macedo, Marcela Leal da Cruz, Rodrigo Trivelato, Gilmar Garrone, Bruno Leslie, Diego Estevam Oliveira, Geórgia Rubiane Souza, Valdemar Ortiz,
Tópico(s)Urinary Bladder and Prostate Research
ResumoComplete 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.We demonstrate in this video the steps of the surgery and present midterm follow-up of a 6-year-old child with CFE.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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