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Female Epispadias Presenting as Urinary Incontinence
Asmir Jonuzi1, Nusret Popovic1, Zlatan Zvizdic1
1Clinic of Pediatric Surgery, Clinical Center University in Sarajevo, Bolnicka 25, 71 000 Sarajevo, Bosnia and Herzegovina.
APSP Journal of Case Reports
|April 13, 2017
Summary
Isolated female epispadias is a rare condition causing urinary incontinence in females. Surgical reconstruction successfully addressed anatomical defects and incontinence in a pediatric case.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Female Genitourinary Reconstruction
Background:
- Isolated female epispadias, a rare congenital anomaly (1 in 484,000 females), presents with urinary incontinence and external genitalia abnormalities.
- This condition differs from bladder exstrophy, focusing solely on urethral and clitoral malformations.
Observation:
- A 6-year-old female presented with primary urinary incontinence.
- Physical examination revealed a bifid clitoris and labia minora; vagina and hymen were normal.
- Voiding cystourethrogram demonstrated a funnel-shaped proximal urethra without vesicoureteral reflux.
Findings:
- Diagnosis of isolated female epispadias was confirmed.
- A successful one-stage surgical reconstruction of the urethra, bladder neck, labia minora, and clitoris was performed.
Implications:
- This case highlights the successful surgical management of isolated female epispadias.
- Effective reconstruction can resolve urinary incontinence and improve anatomical appearance in affected children.