Treatment of adult female epispadias without exstrophy in the presence of rhabdosphincter function.
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.
Pelzer
Alexandre E
AE
Department of Urology, Innsbruck Medical University, Austria. alexandre.pelzer@uibk.ac.at
Akkad
Thomas
T
Schwentner
Christian
C
Schwenter
Christian
C
Strasser
Hannes
H
Bartsch
Georg
G
Rehder
Peter
P
D000328:Adult; D001746:Bladder Exstrophy; D003937:Diagnosis, Differential; D004842:Epispadias / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D014521:Urethra / Q000503:physiopathology*; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000379:methods*