Isolated female epispadias: A rare case report and surgical outcome.

Isolated female epispadias without bladder exstrophy is a rare anomaly. We report a six-year-old girl who presented with urinary incontinence since birth and recurrent urinary tract infections. Examination revealed a bifid clitoris and a wide urethral opening. She underwent single-stage surgical repair via a perineal approach. Postoperatively, she achieved urinary continence with a good stream and could retain urine for 90-120 minutes. Female epispadias is often misdiagnosed as refractory enuresis or recurrent urinary tract infections. Early recognition and timely surgical correction significantly improve continence and quality of life.