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No AccessJournal of UrologyPediatric Urology1 Oct 1997FEMALE EPISPADIAS P. Mollard, T. Basset, and P.Y. Mure P. MollardP. Mollard More articles by this author , T. BassetT. Basset More articles by this author , and P.Y. MureP.Y. Mure More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64276-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the incidence, anatomical features and treatment of female epispadias. Materials and Methods: We studied 10 patients followed from 1 to 18 years. Four were operated on in 2 stages: first, cervicoplasty with original technique, and second, reconstruction of genitalia and distal urethra. Two had only a cervicoplasty. The last 4 patients were operated on in 1 stage according to Hendren's technique but with a simplified cervicoplasty. Results: Eight of 10 patients are totally continent, 1 has some small nocturnal leakage, and 1 is incontinent but the interval of dryness is increasing and is longer than 1 hour. Concerning external genitalia, the result is good but not perfect. Conclusions: Female epispadias is most often complete with total incontinence. The aim of treatment is to reconstruct the anatomy in 1 stage. Treatment is easier and the results are better than in cases of female exstrophy or male incontinent epispadias. References 1 : Congenital epispadias with incontinence.. J. Urol.1949; 62: 513. Abstract, Google Scholar 2 : Epispadias.. Urol. Clin. N. Amer.1978; 5: 107. Google Scholar 3 : Symposium de la Societe Francaise de Chirurgie Infantile.. Ann. Chir. Infant.1971; 12: 497. Google Scholar 4 : Epispadias in females and its surgical treatment.. Surg., Gynec. & Obst.1928; 47: 680. Google Scholar 5 : Complete genito-urinary reconstruction in female epispadias.. J. Urol.1993; 149: 1110. Link, Google Scholar 6 : Congenital female epispadias with incontinence.. J. Urol.1981; 125: 558. Abstract, Google Scholar 7 : Assessment of urinary continence in epispadias: review of 94 patients.. J. Urol.1982; 128: 290. Abstract, Google Scholar 8 : Bladder reconstruction in exstrophy.. J. Urol.1980; 124: 525. Abstract, Google Scholar 9 : Urinary continence after reconstruction of classical bladder exstrophy (73 cases).. Brit. J. Urol.1994; 73: 298. Google Scholar 10 : Exstrophy of the bladder, epispadias and other bladder anomalies.. In: . Philadelphia: W. B. Saunders Co.1992: 1772. Google Scholar 11 : A new application for transvaginal plication in the treatment of girls with total urinary incontinence due to epispadias or hypospadias.. J. Urol.1969; 102: 778. Abstract, Google Scholar 12 : Clinical evaluation of a surgical technique for the correction of complete urinary incontinence.. J. Urol.1972; 107: 402. Abstract, Google Scholar 13 : The correction of stress incontinence by simple vesicourethral suspension.. Surg., Gynec. & Obst.1949; 88: 509. Google Scholar 14 : Submucosal bladder neck injections of glutaraldehyde cross-linked bovine collagen for the treatment of urinary incontinence in patients with the exstrophy/epispadias complex.. J. Urol.1995; 154: 862. Google Scholar 15 : An operation for the cure of incontinence associated with epispadias.. J. Urol.1922; 7: 1. Abstract, Google Scholar 16 : Surgical correction for total urinary incontinence: 5 years after.. J. Urol.1967; 97: 869. Abstract, Google Scholar 17 : Vesical neck reconstruction in patients with epispadias-exstrophy.. J. Urol.1988; 139: 1278. Abstract, Google Scholar 18 : Epispadias: contending with continence.. Ped. Urol.1985; 26: 256. Google Scholar From the Hopital Debrousse, Lyon, Cedex, France.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCheikhelard A, Aigrain Y, Lottmann H and Lortat-Jacob S (2009) Female Epispadias Management: Perineal Urethrocervicoplasty Versus Classical Young-Dees ProcedureJournal of Urology, VOL. 182, NO. 4S, (1807-1812), Online publication date: 1-Oct-2009.DE JONG T, DIK P and KLIJN A (2018) FEMALE EPISPADIAS REPAIR: A NEW 1-STAGE TECHNIQUEJournal of Urology, VOL. 164, NO. 2, (492-494), Online publication date: 1-Aug-2000. Volume 158Issue 4October 1997Page: 1543-1546 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information P. Mollard More articles by this author T. Basset More articles by this author P.Y. Mure More articles by this author Expand All Advertisement PDF downloadLoading ...
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