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Urogenital Reconstruction, Penile Epispadias: Follow-up

Author: Fabio Santanelli, MD, PhD, Associate Professor of Plastic Surgery, University of Rome; Chief of Unita Operativa Dipartimentale di Chirurgia Plastica, Azienda Ospedaliera, Sant'Andrea, Rome
Coauthor(s): Francesca Romana Grippaudo, MD, Assistant Professor, Unit of Plastic Surgery, 2nd Medical Faculty, Sapienza University of Rome, Italy
Contributor Information and Disclosures

Updated: Jun 23, 2008

Outcome and Prognosis

In terms of overall success rates, the incidence of fistulas or stenosis, and the mean hospitalization time, functional results obtained with one-stage epispadias correction have proved to be superior to those obtained with multistage procedures; the prognosis is good.

For one-stage reconstruction, the use of a well-nourished and innervated flap with a long and pliable pedicle is necessary to achieve the high success rate reported in the literature.

Surgical repair generally results in both continence (ability to control the flow of urine) and a good cosmetic outcome.1 Successful reconstruction of epispadias improves the body image and enables the patient to perform sexually.4

 


More on Urogenital Reconstruction, Penile Epispadias

Overview: Urogenital Reconstruction, Penile Epispadias
Workup: Urogenital Reconstruction, Penile Epispadias
Treatment: Urogenital Reconstruction, Penile Epispadias
Follow-up: Urogenital Reconstruction, Penile Epispadias
Multimedia: Urogenital Reconstruction, Penile Epispadias
References

References

  1. Ben-Chaim J, Peppas DS, Jeffs RD, Gearhart JP. Complete male epispadias: genital reconstruction and achieving continence. J Urol. May 1995;153(5):1665-7. [Medline].

  2. Mollard P, Basset T, Mure PY. Male epispadias: experience with 45 cases. J Urol. Jul 1998;160(1):55-9. [Medline].

  3. Surer I, Baker LA, Jeffs RD, Gearhart JP. The modified Cantwell-Ransley repair for exstrophy and epispadias: 10- year experience. J Urol. Sep 2000;164(3 Pt 2):1040-2; discussion 1042-3. [Medline].

  4. Kramer SA, Mesrobian HG, Kelalis PP. Long-term followup of cosmetic appearance and genital function in male epispadias: review of 70 patients. J Urol. Mar 1986;135(3):543-7. [Medline].

  5. Caione P, Capozza N, Lais A, Matarazzo E. Periurethral muscle complex reassembly for exstrophy-epispadias repair. J Urol. Dec 2000;164(6):2062-6. [Medline].

  6. Diamond DA, Ransley PG. Improved glanuloplasty in epispadias repair: technical aspects. J Urol. Oct 1994;152(4):1243-5. [Medline].

  7. Gearhart JP. Re: results of complete penile disassembly for epispadias repair in 42 patients. J Urol. Jun 2004;171(6 Pt 1):2386; author reply 2386. [Medline].

  8. Grossman JA, Caldamone A, Khouri R, Kenna DM. Cutaneous blood supply of the penis. Plast Reconstr Surg. Feb 1989;83(2):213-6. [Medline].

  9. Horton CE, Sadove RC, Jordan GH, Sagher U. Use of the rectus abdominis muscle and fascia flap in reconstruction of epispadias/exstrophy. Clin Plast Surg. Jul 1988;15(3):393-7. [Medline].

  10. Patten BM, Barry A. The genesis of extrophy of the bladder and epispadias. Am J Anat. 1952;90:35.

  11. Santanelli F, Fogdestam I. Use of a vertical island flap for correction of epispadias. Ann Plast Surg. Oct 1991;27(4):345-50. [Medline].

Further Reading

Keywords

congenital malformation, genitalia malformation, genital malformation, penis malformation, deformed penis, penis repair, penis reconstruction, penile repair, penile surgery, penis, epispadias, epispadias-exstrophy of the bladder, bladder epispadias-exstrophy, bladder epispadias, bladder exstrophy, penile exstrophy, penis epispadias, penis exstrophy, impotentia coeundi, impotentia generandi, penis curvature, penile curvature, glanuloplasty, epispadiac penis, chordee

Contributor Information and Disclosures

Author

Fabio Santanelli, MD, PhD, Associate Professor of Plastic Surgery, University of Rome; Chief of Unita Operativa Dipartimentale di Chirurgia Plastica, Azienda Ospedaliera, Sant'Andrea, Rome
Fabio Santanelli, MD, PhD is a member of the following medical societies: American Society of Plastic and Reconstructive Surgery, European Association of Plastic Surgeons, and International Confederation for Plastic and Reconstructive Surgery
Disclosure: Nothing to disclose.

Coauthor(s)

Francesca Romana Grippaudo, MD, Assistant Professor, Unit of Plastic Surgery, 2nd Medical Faculty, Sapienza University of Rome, Italy
Francesca Romana Grippaudo, MD is a member of the following medical societies: International Confederation for Plastic and Reconstructive Surgery
Disclosure: Nothing to disclose.

Medical Editor

Dennis P Orgill, MD, PhD, Associate Professor, Harvard Medical School; Director, Burn Center, Brigham and Women's Hospital
Dennis P Orgill, MD, PhD is a member of the following medical societies: American Burn Association, American Medical Association, American Society for Reconstructive Microsurgery, Massachusetts Medical Society, and Plastic Surgery Research Council
Disclosure: Kinetic Concepts, Inc. Grant/research funds Principle Investigator; Marine Polymers  Grant/research funds Principle Investigator; Naval Blood Research Lab Grant/research funds Principle Investigator

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

 
 
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