Kelly procedure for male primary epispadias.

INTRODUCTION

Primary epispadias is a rare congenital malformation involving the urogenital system. In patients with epispadias, bladder closure enhances bladder growth and continence.

METHODS

Several steps were carried out to bring the bladder neck to the midline and allow tension-free bladder neck reconstruction and recreation of the natural angulation of urethra. The urethral plate and penile shaft were dissected and the corpora cavernosa separated, and then the bladder neck repair was performed. The urethral plate was tubularised and brought ventrally. The separated corpora were reapposed, avoiding torsion. The skin was reoriented to provide cover to the penis.

RESULTS

The Kelly procedure improves cosmesis and continence by reconstructing a tension-free bladder neck repair and lengthening the penis.

CONCLUSION

The video demonstrates the Kelly procedure for primary epispadias in a male child.