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Related Experiment Video

Updated: Jun 27, 2025

Vessel-sparing Excision and Primary Anastomosis
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Isolated Male Epispadias Repair: Long-Term Outcomes.

Marko Bencic1,2, Marta Bizic1,2, Ivana Joksic3

  • 1Belgrade Center for Genitourinary Reconstructive Surgery, 11000 Belgrade, Serbia.

Life (Basel, Switzerland)
|April 27, 2024
PubMed
Summary
This summary is machine-generated.

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Surgical repair of isolated male epispadias often requires multiple procedures, yielding good aesthetic results but frequently leaving urinary incontinence unresolved. Long-term follow-up is crucial for managing this severe congenital anomaly.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Congenital Anomalies

Background:

  • Isolated male epispadias is a severe congenital genital anomaly requiring complex surgical correction.
  • Achieving both aesthetic and functional outcomes is paramount in surgical reconstruction.
  • Previous studies highlight the challenges in long-term management and patient quality of life.

Purpose of the Study:

  • To retrospectively analyze the long-term outcomes of surgical reconstruction for isolated male epispadias.
  • To evaluate aesthetic results, urinary continence, complications, sexual function, and quality of life.
  • To determine the necessity of extended follow-up beyond sexual maturity.

Main Methods:

  • Retrospective analysis of 31 male patients with isolated epispadias undergoing surgical repair between 2000 and 2015.
Keywords:
congenital anomaliescurvatureepispadiasfistulalong-term follow-uppenisurethra

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  • Inclusion criteria: isolated male epispadias, mean age 17 years.
  • Outcome measures: aesthetic outcome, continence, complications, sexual function, quality of life; follow-up: 8-23 years (average 14.4 years).

    • Main Results:

    • An average of 2.2 procedures per patient were performed.
    • Satisfactory aesthetic outcomes were reported in 71.4% of cases.
    • Common complications included urethral fistula (22.6%) and residual curvature (12.9%); urinary incontinence remained a significant issue impacting quality of life.

    Conclusions:

    • Surgical repair of isolated male epispadias often necessitates multiple procedures for satisfactory aesthetic results.
    • Urinary incontinence is a persistent challenge with a substantial impact on quality of life.
    • Extended, comprehensive long-term follow-up, even after sexual maturity, is essential for optimal patient management.