Complete penile disassembly in epispadias repair

Acimi, Smaïl; Acimi, Mohammed Ali

doi:10.1007/s11255-019-02106-4

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…In their series, 53% of the patients underwent chordee repair and penile lengthening during adolescence [31]. Acimi et al observed a recurrence of penile curvature in 60% of isolated epispadias cases, while epispadias treated simultaneously with bladder exstrophy showed recurrence in 9.6% of the patients [23]. Therefore, special attention should be given to the assessment of penile and glans deformities after complete sexual maturation.…”

Section: Discussionmentioning

confidence: 99%

“…Afterwards, a follow-up should be conducted to correct any complications influencing the patients' functional and psychological issues. Many surgical centers treating epispadias reported satisfactory results after the complete penile disassembly technique [2,5,6,11,[21][22][23][24]. Most published studies analyzed short-term results of epispadias repair in the past, but currently, authors are paying more attention to the long-term outcomes [2,[8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…However, they also reported that 77% of patients had a short urethral plate that required the creation of hypospadiac meatus in patients with bladder exstrophy epispadias complex [22]. Moreover, a study of Acimi and colleagues reported short urethral plate in 97% of the cases [23]. Conversely, some authors reported orthotopic meatus after complete disassembly techniques in all cases [18,24].…”

Section: Discussionmentioning

confidence: 99%

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Isolated Male Epispadias Repair: Long-Term Outcomes

Bencic,

Bizic,

Joksic

et al. 2024

Life

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Isolated male epispadias is one of the most severe congenital genital anomalies that require surgical correction. The goals of the surgery are to reach good aesthetic and functional outcomes. The aim of this retrospective study was to analyze the long-term outcomes of surgical reconstruction of male epispadias. A total of 31 patients with a mean age of 17 years, who underwent surgical repair of isolated male epispadias from January 2000 to January 2015, were involved. The main outcome measures were defined as: aesthetic outcome, continence, postoperative complications, sexual function, and quality of life. The follow-up period ranged from 8 to 23 years, with an average of 14.4 years. Each patients underwent an average of 2.2 surgical procedures in this period. The most common postoperative complications were urethral fistula and residual curvature, in 22.6% and 12.9%, respectively. Satisfactory aesthetic outcome was reported in 71.4% of cases. The repair of male epispadias usually includes more than two procedures with satisfactory aesthetic outcome. Unsolved urinary incontinence remains a significant issue and has a high impact on the quality of life. Follow-up should be extended even after complete sexual maturity. Comprehensive long-term evaluation is necessary for proper treatment of isolated epispadias.

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Section: Discussionmentioning

confidence: 99%