Sub-symphyseal combined paraurethral flap and bladder neck plication for repair of isolated female epispadias.

INTRODUCTION

Isolated female epispadias is a rare congenital anomaly.

OBJECTIVES

We report on sub-symphseal repair of this anomaly.

METHODS

Our study was an ambidirectional observational cohort one with minimum 6 months post operative evaluation. Surgical approach involved creation of paraurethral skin flap to lengthen the urethra and bladder neck (BN) plication under cystoscopic guidance. Second layer cover of the urethral tube using bilateral Maritus labial flap was performed.

RESULTS

Of the 7 patients, 6 were fully continent.

CONCLUSIONS

Our approach is effective for gaining both urinary continence and cosmesis issues.