Objective: To present an overview of the clinical presentation and pathological anatomy of epispadias with intact prepuce--a rare condition that has only occasionally been reported in literature.
Materials And Methods: We present two cases of concealed epispadias. We also review the available literature with regard to this rare condition. We found 14 cases in 7 studies that were reviewed. Relevant variables were reviewed and are discussed.
Results: There were 13 of 16 cases presented with complaints of buried or webbed penis. In 11 of 16 cases, epispadias was suspected or diagnosed at first presentation and could be surgically corrected in the first intervention. Epispadias repair was successful with regard to cosmesis and erectile function in all cases, including ours.
Conclusion: Proper preoperative diagnosis and preoperative counseling of parents are essential for the successful treatment of this rare entity. Fewer complications, less additional interventions, and better continence rates seem to be noted for the boys with epispadias and intact prepuce.
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Surgical correction of epispadias associated with buried penis.
Int J Surg Case Rep
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Faculty of Medicine, Assiut University, Egypt. Electronic address:
Article Synopsis
- Isolated male epispadias is a rare condition occurring in about 1 in 120,000 births, often presenting as a concealed penis due to insufficient penile skin and a non-retractable foreskin.
- A nine-month-old boy with this condition underwent a successful surgical repair using a modified technique, showing positive follow-up results with no complications and high parent satisfaction.
- Effective treatment requires proper preoperative diagnosis and counseling, as many cases may be overlooked due to the presentation of buried penis and normal urinary function.
Introduction: Penile glans amputation during circumcision is a rare but potentially devastating complication. The mechanism and causes are poorly understood and incomprehensible. It is important to identify the causes of these complications, to suggest a mechanism and to propose prevention measures.
View Article and Find Full Text PDFIs Concealed Epispadias a Rare Variant?
Urology
November 2017
Assiut Urology and Nephrology Hospital, Assiut University, Assiut, Egypt.
Objective: To present our experience with concealed epispadias and to estimate its actual share in the isolated male epispadias cases and its effect on the surgical outcome.
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Concealed epispadias associated with a buried penis.
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Department of Paediatric Urology, Hôpital Mère-Enfant, Université Claude-Bernard, Bron, France. Electronic address:
Objective: The aim was to describe the clinical presentation and the surgical management of penile epispadias associated with a buried penis in five children.
Patients And Methods: This is a 5-year retrospective review of patients presenting with a buried penis, a congenital defect of the penile skin shaft associated with an unretractable foreskin for whom a penile epispadias was found at the time of surgery. All had undergone surgery combining a Cantwell-Ransley procedure and refashioning of the penile skin following the authors' technique.
Quality of life in female patients with bladder exstrophy-epispadias complex: Long-term follow-up.
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Introduction: Bladder exstrophy-epispadias complex (BEEC) is a congenital malformation that requires multiple surgeries during childhood and life-long follow-up. It often presents with conditions that have the potential to impact quality-of-life (QoL) and psychosocial functioning of affected patients, such as incontinence and sexual dysfunction. The aim of this study is to examine the QoL, urinary continence, sexual function, and overall health in a long-term series of female patients with BEEC.
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