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Treatment of adult female epispadias without exstrophy in the presence of rhabdosphincter function
Author(s) -
PELZER ALEXANDRE E.,
AKKAD THOMAS,
SCHWENTNER CHRISTIAN,
STRASSER HANNES,
BARTSCH GEORG,
REHDER PETER
Publication year - 2006
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2006.01292.x
Subject(s) - epispadias , medicine , urinary incontinence , bladder exstrophy , sexual function , neck of urinary bladder , surgery , urology , urinary bladder
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.