Surgical management of urinary incontinence in girls with congenitally short urethra.
We treated 6 girls with total urinary incontinence secondary to a congenitally short urethra by a combination of extensive internal and external urethral lengthening. Of the patients 3 had hypospadias and 3 had severe epispadias. All 6 are dry during the day and 1 has nighttime wetting. Success depends upon the creation of a long neourethra and a new continence zone.
D000293:Adolescent; D000328:Adult; D004842:Epispadias / Q000150:complications; D005260:Female; D006801:Humans; D007021:Hypospadias / Q000150:complications; D008297:Male; D013524:Surgical Flaps; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*