Extension of complete penile disassembly for repair of incontinent epispadias

ABSTRACT

This study aimed to utilize the technique of complete penile disassembly of the epispadias phallus into three discrete components to straighten the penile shaft, ventralize the tabularized urethral plate and to tighten the incompetent bladder neck and evaluate the results of this technique. Five male patients aged five to thirty- five years were presented for repair of epispadias [three patients were coming for primary repair and two had previous failed attempted repair]. Primary cases had classic penopubic epispadias and were partially or totally incontinent. Follow up for three-ten months revealed a conical glands in four patients, straight penile shaft angulated downward during standing in five cases with apical meatus in four and reasonable dry interval in five with occasional bed wetting in two. Glands separation occurred in one patient and dorsal coronal fistula in another one and was successfully repaired. The neourethra was of even calibre and easily catheterizable without stenosis or stricture formation