Total genitourinary reconstruction in adult female epispadias: A report of 2 cases and literature review

Gupta, Nidhi; Dorairajan, Lalgudi Narayanan; Chahal, R.

doi:10.1007/bf01900545

Cited by 4 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The dorsal wall of the urethra is defective [1] and via cystoscopy it is seen as short and wide [7]. The syndrome is presented with primary urinary incontinence and abnormal anatomical features [2].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of stress urinary incontinence and vaginal prolapse for the woman with epispadia

et al. 2014

View full text Add to dashboard Cite

AbstractPatient K.L., 32 years old. Menses started at thirteen years old, C 5/28. Patient had two vaginal deliveries in 2004 and 2010. Dysplasia cervicis uteri CIN2-3 was diagnosed in 2007, subsequently diathermoconisation cervicis uteri was performed. The woman was born with epispadia — extrophia of urethra to abdominal wall, without pubic bone. At the age of 8 she underwent an operation in Moscow. During the operation the neck of the bladder was formed as well as urethra, which opens in vulva, place of clitoris. When she was 8 years old, her bladder capacity was 30 ml, in teenage years — 90 ml. The patient also reported history of recurrent urinary tract infections. 2011.08.02 Patient took medical advice in out patient department Kaunas university hospital with a complaint of stress urinary incontinence: when going, coughing, sneezing, doing exercises, having sex and at rest of time. Also it was the sexual intercourse problems with orgasm. She was urinating 8 times per day but none at night. Gynecological examination: absence of pubic bone, vulva is abnormal: absence of labium major and clitoris. Urethra opens into the place of clitoris. Front and back walls of vagina are moving down (POP-Q II-III stage prolapsed). Cervix of uterus is short, epithelised (after diathermoconisation). Uterus is normal in size, in retro-versio-flexio position. — without pathology. Sonography: internal genital organs without pathology. Boney, Valsalva test are positive, Ulmstein test negative. Urodynamic study revealed a bladder capacity of 134 ml, voided volume 173 ml. Pressure of detrusor — 10cmH2O. Compliancenormal, max flow rate 13,8 ml/s, voiding time 24 s. Spontaneous contractions of detrusor were not observed. Surgical treatment: 2011.10.10 TOT (tension obturator tape). Anterior and posterior colporrhaphy and perineoplastic was performed. There were no complications during and after surgery. On the 2 day after operation patient was released from hospital.

show abstract

Section: Introductionmentioning

confidence: 99%

Surgical treatment of stress urinary incontinence and vaginal prolapse for the woman with epispadia

et al. 2014

View full text Add to dashboard Cite

show abstract

Reconstruction of the Female Urethra: Versatility, Complexity and Aptness

2007

View full text Add to dashboard Cite

show abstract

Untitled

Unal

Yeni

Verit

et al. 2000

International Urology and Nephrology

View full text Add to dashboard Cite

Epispadias surgery has mainly two components: bladder and genitourethral reconstruction. Herein, a novel vulvoplasty method, an alternative for the latter component, carried out in a rare case of female epispadias was presented. In a 6-year-old girl admitted with complaint of total incontinence, epispadias without evident extrophy associated with adequate bladder capacity was determined. Firstly the vulvoplasty in which a circumferencial skin flap around the urethral meatus was rolled backwards, and secondly bladder neck reconstruction was performed. The vulvoplasty resulted in sufficient cosmetic outcome and continence up to half an hour, and after cervicoplasty total day and night continence at rest or on exertion were obtained. It was concluded that this vulvoplasty with sufficient cosmetic outcome could be considered as a first stage operation in female epispadias, because it could facilitate bladder neck reconstruction by increasing urethral resistance, and contribute to continence.

show abstract

Total genitourinary reconstruction in adult female epispadias: A report of 2 cases and literature review

Cited by 4 publications

References 6 publications

Surgical treatment of stress urinary incontinence and vaginal prolapse for the woman with epispadia

Surgical treatment of stress urinary incontinence and vaginal prolapse for the woman with epispadia

Reconstruction of the Female Urethra: Versatility, Complexity and Aptness

Untitled

Contact Info

Product

Resources

About