Treatment of adult female epispadias without exstrophy in the presence of rhabdosphincter function

Female epispadias without exstrophy is a very rare entity. Symptoms of female epispadias are primary urinary incontinence and anatomical abnormal features. A 24‐year‐old married women with two children presented with primary urinary incontinence. Due to previous failure of correct diagnosis and inef...

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Bibliographic Details
Published in:International journal of urology 2006-03, Vol.13 (3), p.321-322
Main Authors: PELZER, ALEXANDRE E., AKKAD, THOMAS, SCHWENTNER, CHRISTIAN, STRASSER, HANNES, BARTSCH, GEORG, REHDER, PETER
Format: Article
Language:English
Subjects:
Adult
Bladder Exstrophy
Diagnosis, Differential
epispadias
Epispadias - complications
Epispadias - diagnosis
Epispadias - surgery
Female
Humans
incontinence
Urethra - physiopathology
Urinary Incontinence - etiology
Urinary Incontinence - physiopathology
Urinary Incontinence - surgery
Urodynamics - physiology
Urologic Surgical Procedures - methods
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Summary:Female epispadias without exstrophy is a very rare entity. Symptoms of female epispadias are primary urinary incontinence and anatomical abnormal features. A 24‐year‐old married women with two children presented with primary urinary incontinence. Due to previous failure of correct diagnosis and ineffective medical treatment, the patient developed psychological problems (anxiety and depression). In the presence of minimal rhabdosphincter function we could achieve socially acceptable urinary continence by bladder neck plication and a Burch colposuspension. The patient did not consent to a major reconstruction.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2006.01292.x