Epispadias

As outlined congenital Epispadias exstrophy of the bladder and often complicated, embryology can be regarded as part of the Bladder Exstrophy. Clinical manifestations of clinical performance : penis head rare incontinence, penile-pubis and penis, The incidence of urinary incontinence in the 75% and 95%. Female epispadias performance to split the clitoris, labia minora separately, the majority of urinary incontinence. Incontinence is usually urethral sphincter dysplasia, but also distal penile curvature. Isolation is often associated with suprapubic bladder exstrophy, Epispadias exstrophy of the bladder that is a lighter form; serious Epispadias often with exstrophy of the bladder. Clinical classification : in the male urethra, located in the dorsal penile, urethral mouth different positions can be divided into the following three types : penis head : urethral mouth wide open again - bian in the first dorsal penile; penis type : I urethral opening to the pubic symphysis to Mathieu between urethral clemency was bang-minded, distal urethral I was gully or to the penis head;۠penis suprapubic type : urethral orifice openings in the pubic symphysis, with a dorsal penile integrity of the penile urethra to the first groove. Treatment of urethral resection of fiber cable extends the penis, urethral reconstruction. The current restoration of urethral sphincter success rate is not high. But Tanagho and Smith (1972) reports, through the bladder and prostatic urethra into the bladder wall between rolls into the valve control that can completely control urination. Kramer and "Kelali's (1982) reported that but in addition to fiber cable and meatal advancement of urethroplasty was satisfied with the results impressive. If corrective surgery after the occurrence of urinary incontinence may consider artificial sphincter surgery. Epidemiological morbidity : Epispadias incidence rate of 120, 000 cases were male one cases per 4500,000 cases women have one cases.