Published in:
01-09-2005 | Master Class in Plastic Surgery
Reconstruction of the penis in men born with epispadias and exstrophy
Published in: European Journal of Plastic Surgery | Issue 2/2005
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There is a spectrum of congenital anomalies of the lower urinary tract and pelvis covered by the term ‘exstrophy/epispadias’. At the worst end is cloacal exstrophy and at the most minor end is an epispadiac position of an otherwise normal urethra (Fig.1). In males with an incompletely-closed pubic ring the genitalia have a characteristic deformity called epispadias. The reconstruction of this anomaly is the same regardless of the degree of bladder anomaly, although the system of bladder emptying may influence the surgical decisions. The extent of surgery required depends on the functional consequences of the deformity.
Fig. 1
An epispadiac urethra in an otherwise normal penis
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