Complete female epispadia: the case for perineal approach.
BACKGROUND
Complete female epispadia (CFE) is a rare congenital anomaly occurring in 1 of 500,000 live births. The goals of CFE management include achieving continence, while protecting the kidneys, and creating functional, cosmetic external genitalia.


METHODS
We demonstrate in this video the steps of the surgery and present midterm follow-up of a 6-year-old child with CFE.


CONCLUSIONS
The patient had an excellent cosmetic result, and reported continence of 3 h period with mild leakage. The perineal infrapubic approach offers the possibility of restoring cosmesis and providing resistance in one surgery precluding the need for abdominal bladder neck surgery.
Federal University of São Paulo, São Paulo, Brazil.
Antonio
A
Macedo
Federal University of São Paulo, São Paulo, Brazil. Electronic address: ma_celaleal@yahoo.com.br.
Marcela
M
Leal da Cruz
Federal University of São Paulo, São Paulo, Brazil.
Rodrigo
R
Trivelato
Federal University of São Paulo, São Paulo, Brazil.
Gilmar
G
Garrone
Federal University of São Paulo, São Paulo, Brazil.
Bruno
B
Leslie
Federal University of São Paulo, São Paulo, Brazil.
Diego Estevam
DE
Oliveira
Federal University of São Paulo, São Paulo, Brazil.
Geórgia Rubiane
GR
Souza
Federal University of São Paulo, São Paulo, Brazil.
Valdemar
V
Ortiz
D002648:Child; D004842:Epispadias / Q000601:surgery*; D005260:Female; D006801:Humans; D010502:Perineum / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*