Complete female epispadia: the case for perineal approach

Area of Science:

• Pediatric Urology
• Congenital Anomalies
• Surgical Reconstruction

Background:

• Complete female epispadias (CFE) is a rare congenital anomaly affecting 1 in 500,000 live births.
• Management goals include urinary continence, renal protection, and functional, cosmetic external genitalia reconstruction.

Observation:

• This video demonstrates the surgical steps for CFE repair.
• Midterm follow-up of a 6-year-old child with CFE is presented.

Findings:

• The patient achieved an excellent cosmetic outcome.
• Reported continence for 3-hour periods with minimal leakage.

Implications:

• The perineal infrapubic approach facilitates simultaneous cosmesis restoration and resistance creation.
• This single-stage surgery may preclude the need for subsequent abdominal bladder neck procedures in CFE cases.