title: Single-stage Female Epispadias Repair by Combined Infrasymphyseal Bladder Neck Plication and Urethrogenitoplasty: A Novel Technique.
abstract: OBJECTIVE
  To evaluate the role of infrasymphyseal bladder neck plication and suspension from the pubic bone along with urethrogenitoplasty as a single-stage procedure for treating isolated cases of female epispadias.
  
  
  METHODS
  Six patients with female epispadias having grade 3 urinary incontinence were treated through bladder neck plication and suspension from the pubic bone along with urethrogenitoplasty from December 2013 to March 2016.
  
  
  RESULTS
  Of the 6 patients with a mean age of 5.91 years (3-10 years) and a mean postoperative follow-up of 13.17 months (4-29 months), 5 patients stopped wearing diapers and were fully continent with a dry period of more than 3 hours from the first week of catheter removal. One patient experienced urine leakage while playing or crying in the initial postoperative period. However, this patient became continent with a dry period of more than 3 hours after 4 months of follow-up. All patients had an excellent cosmetic outcome without any considerable postoperative complications. All patients were voiding well without significant postvoid residual urine.
  
  
  CONCLUSIONS
  The present technique is simple, safe, and effective for achieving urinary continence in patients with female epispadias.
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Sher Singh
authors.initials: SS
authors.lastname: Yadav
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Agarwal
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India. Electronic address: sankum10@yahoo.co.in.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Vinay
authors.initials: V
authors.lastname: Tomar
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Nachiket
authors.initials: N
authors.lastname: Vyas
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Ramdayal
authors.initials: R
authors.lastname: Teli
authors.affiliation: Department of Surgery, S.M.S Medical College, Jaipur, India.
authors.forename: Mohit Kumar
authors.initials: MK
authors.lastname: Badgurjar
authors.affiliation: Department of Urology, S.M.S Medical College, Jaipur, India.
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Bamaniya
mesh_terms: D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004842:Epispadias / Q000601:surgery*; D005260:Female; D006801:Humans; D011630:Pubic Bone / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*