Kelly procedure for male primary epispadias.
BACKGROUND
Primary epispadias is a rare congenital malformation involving the urogenital system. In patients with epispadias, bladder closure enhances bladder growth and continence.


METHODS
Several steps were carried out to bring the bladder neck to the midline and allow tension-free bladder neck reconstruction and recreation of the natural angulation of urethra. The urethral plate and penile shaft were dissected and the corpora cavernosa separated, and then the bladder neck repair was performed. The urethral plate was tubularised and brought ventrally. The separated corpora were reapposed, avoiding torsion. The skin was reoriented to provide cover to the penis.


RESULTS
The Kelly procedure improves cosmesis and continence by reconstructing a tension-free bladder neck repair and lengthening the penis.


CONCLUSIONS
The video demonstrates the Kelly procedure for primary epispadias in a male child.
Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK.
Pankaj
P
Mishra
Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK. Electronic address: simonrajendran@gmail.com.
Simon
S
Rajendran
Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK.
Maria
M
Asimakidou
Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK.
Imran
I
Mushtaq
D002648:Child; D004842:Epispadias / Q000601:surgery*; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods
Epispadias; Kelly procedure