Related Experiment Video
Updated: Mar 15, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Kelly procedure for male primary epispadias
Pankaj Mishra1, Simon Rajendran1, Maria Asimakidou1
1Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK.
Introduction:
Primary epispadias is a rare congenital malformation involving the urogenital system. In patients with epispadias, bladder closure enhances bladder growth and continence.
Methods:
Several steps were carried out to bring the bladder neck to the midline and allow tension-free bladder neck reconstruction and recreation of the natural angulation of urethra. The urethral plate and penile shaft were dissected and the corpora cavernosa separated, and then the bladder neck repair was performed. The urethral plate was tubularised and brought ventrally. The separated corpora were reapposed, avoiding torsion. The skin was reoriented to provide cover to the penis.
Results:
The Kelly procedure improves cosmesis and continence by reconstructing a tension-free bladder neck repair and lengthening the penis.
Conclusion:
The video demonstrates the Kelly procedure for primary epispadias in a male child.
