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Impact of pelvic floor anatomical variations on urinary continence outcome in boys with epispadias

  • 0Department of Urology, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Scientific Reports +

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September 27, 2025

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September 27, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Wider pubic diastasis in boys with epispadias significantly increases urinary incontinence risk. This anatomical variation impacts pelvic floor structures crucial for continence.

Area Of Science

  • Pediatric Urology
  • Anatomy
  • Medical Imaging

Background

  • Epispadias is a congenital condition affecting the urinary tract and genitalia.
  • Urinary continence is a common challenge in managing boys with epispadias.
  • Pelvic floor anatomy plays a critical role in urinary continence.

Purpose Of The Study

  • To investigate the association between pelvic floor anatomical variations and urinary continence in boys with epispadias.
  • To identify specific anatomical parameters that predict urinary incontinence in this population.
  • To determine the independent risk factors for urinary incontinence in boys with epispadias.

Main Methods

  • Preoperative pelvic floor magnetic resonance imaging (MRI) was used to assess 12 anatomical parameters.
  • 16 boys with epispadias were included in the study.
  • Patients were categorized into continent and incontinent groups based on long-term urinary continence outcomes.

Main Results

  • Pubic diastasis was significantly wider in the incontinent group compared to the continent group (p=0.001).
  • Posterior anal distance and posterior bladder neck distance showed trends toward increase in the incontinent group.
  • Pubic diastasis was identified as an independent risk factor for urinary incontinence (OR 1.292, p=0.046).

Conclusions

  • Wider pubic diastasis is a significant risk factor for urinary incontinence in boys with epispadias.
  • Altered pelvic floor anatomy, including greater posterior distances, may contribute to urinary incontinence.
  • These findings highlight the importance of assessing pubic diastasis in the management of epispadias.

Keywords:

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