Title: Complete Penile Disassembly for Epispadias Repair in Isolated Epispadias in a Postpubertal Patient: A Case Report
Authors: Dr (Prof) A.K.Roy, Dr Rahul Bhushan, Dr Anurag Saraswat, Dr Saurabh Rai
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.05
Abstract
Epispadias is a rare congenital malformation of the male or female urogenital apparatus that consists of a defect of the dorsal wall of the urethra. The extent of the defect can vary from a mild glandular defect to complete defects as are observed in bladder exstrophy, diastasis of the pubic bones, or both (see second image below). Simple epispadias occurs less commonly than the more severe form associated with exstrophy of the bladder. Complete disassembly allows tubularization and ventralization of the entire distal urethra; makes glans and urethral repair independent; separates the 2 corporeal glandular bodies, permitting easier and more complete release of the rotation contributing to dorsal chordee, and improves exposure for corporotomy or dermal grafts. CPD is a safe and highly successful technique for epispadias repair in infants, boys and adults. There is an ongoing concern with the procedure in neonates. The procedure has a satisfactory outcome when performed for isolated epispadias.
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