Case Report: Isolated male epispadias in adult: a rare case report.

INTRODUCTION

Isolated male epispadias is a rare congenital anomaly characterized by dorsal urethral displacement, typically corrected during infancy. Cases presenting for the first time in adulthood are exceedingly rare and pose unique challenges regarding surgical reconstruction and psychosexual well-being.

CASE PRESENTATION: A 35-year-old continent male presented with a dorsal midshaft urethral meatus and associated chordee, seeking correction prior to marriage. The patient underwent a modified Cantwell-Ransley procedure, involving degloving, chordee excision, and ventral transposition of the urethral plate. Postoperative recovery was noted for transient minor glans necrosis, which healed spontaneously. At the three-month follow-up, the patient achieved a functional result with a peak flow rate () of 16 ml/s and an IIEF-5 score of 22/25.

CONCLUSIONS

Surgical correction of isolated epispadias in adulthood is feasible and offers significant benefits. The modified Cantwell-Ransley technique is a reliable approach for restoring anatomical integrity and sexual function.