Penile repair in patients with epispadias-exstrophy complex - Can we prevent resultant hypospadias?

Paolo Caione, Simona Gerocarni Nappo, Ennio Matarazzo, Ivan Pietro Aloi, Alberto Lais

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Male genitalia reconstruction in patients with exstrophy-epispadias complex often leads to secondary hypospadias, thus requiring additional surgery and resulting in possible complications. We describe a technique of male epispadias repair to prevent resultant hypospadias. Materials and Methods: The complete penile disassembly technique is modified by multiple Z-plasties, which enable creation of a funnel-like bladder neck and urethral plate lengthening. A total of 29 patients 2 months to 12 years old presenting with pure epispadias and bladder exstrophy were treated with this technique between 2004 and 2011. These patients were compared to 19 patients 1 day to 11 years old with exstrophy-epispadias treated with the standard penile disassembly technique between 2000 and 2004. Results: Outcome measures were urethral orifice position, penile length and complications. There was no statistically significant difference between the 2 groups regarding penile length or complications. In the study group the urethra reached the tip of the glans in all patients, whereas the creation of intentional hypospadias was necessary in 6 patients (31.5%) in the control group (p

Original languageEnglish
Pages (from-to)1061-1065
Number of pages5
JournalJournal of Urology
Volume189
Issue number3
DOIs
Publication statusPublished - Mar 2013

Keywords

  • bladder exstrophy
  • epispadias
  • hypospadias
  • surgery, plastic
  • urologic surgical procedures, male

ASJC Scopus subject areas

  • Urology

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