title: Management of epispadias.
abstract: Although epispadias is considered to be the least severe defect of the exstrophy-epispadias complex, the treatment of this anomaly is far from trivial. Epispadias does not involve the body of the bladder or the hindgut but does affect the urethra and can affect the bladder neck. As a consequence, it presents with a spectrum of severity that can affect urinary continence if the epispadias anomaly is proximal enough to affect the urinary sphincter mechanism.
authors.affiliation: Section of Pediatric Urology, Children's Hospital & Regional Medical Center, University of Washington Medical Center, 4800 Sandpoint Way NE, Seattle, WA 98105, USA.
authors.forename: Richard W
authors.initials: RW
authors.lastname: Grady
authors.forename: Michael E
authors.initials: ME
authors.lastname: Mitchell
mesh_terms: D001746:Bladder Exstrophy / Q000601:surgery; D004842:Epispadias / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications; D016896:Treatment Outcome; D014521:Urethra / Q000033:anatomy & histology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*