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Epispadias repair using the Mitchell technique.

K L Narasimhan1, S K Mohanty, N Singh

  • 1Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Pediatric Surgery
|April 22, 1999
PubMed
Summary
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Epispadias repair using Mitchell's technique in nine boys yielded excellent anatomical results, including a conical glans and orthotopic meatus. This penile reconstruction offers promising cosmetic and functional outcomes for epispadias treatment.

Area of Science:

  • Pediatric Urology
  • Surgical Reconstruction

Background:

  • Epispadias is a congenital condition requiring surgical correction.
  • Mitchell's technique offers a method for epispadias repair.

Purpose of the Study:

  • To analyze the outcomes of epispadias repair using Mitchell's technique.
  • To discuss the advantages of this surgical approach.

Main Methods:

  • Nine male patients aged 6 weeks to 6 years underwent epispadias repair.
  • Procedures included repairs for penopubic, inferior vesical fissure, midpenile epispadias, and exstrophy epispadias complex.
  • Eight patients had primary repair; two had simultaneous exstrophy and epispadias closure.

Main Results:

  • At a mean 10-month follow-up, all patients achieved a conical glans.

Related Experiment Videos

  • Eight patients had a ventral orthotopic meatus; one had a coronal hypospadiac meatus.
  • Minor penopubic fistula occurred in one patient; penile curvature was noted in six.

    • Conclusions:

    • Mitchell's technique facilitates anatomical penile reconstruction with superior cosmetic and functional results.
    • Further long-term studies are needed to fully assess genital function post-repair.