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Epispadia 

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  1. 06-07-2023 | Epispadia | ReviewPaper

    Ensuring our exstrophy-epispadias complex patients and families thrive

    Individuals with bladder exstrophy-epispadias complex (EEC) need long-term integrated medical/surgical and psychosocial care. These individuals are at risk for medical and surgical complications and experience social and psychological obstacles …

  2. 06-02-2023 | Epispadia | OriginalPaper

    Exstrophy-epispadias complex: are the kidneys and kidney function spared?

    The exstrophy-epispadias complex (EEC) represents a spectrum of congenital anomalies characterized by abnormal closure of the lower abdominal wall and the bladder, with defects of the bony pelvis and pelvic floor genitalia; the spine and anus are …

  3. Open Access 01-12-2022 | Erectile Dysfunction | OriginalPaper

    Introduction of a modified single stage reconstruction technique of male penopubic epispadias

    Male epispadias, a rare congenital dislocation of the urethral meatus on the dorsum of the penis, is of the mildest form of a broad spectrum of urogenital anomalies known as bladder-exstrophy-epispadias complex (BEEC) [ 1 ]. Although the etiology …

  4. 01-02-2021 | Epispadia | OriginalPaper

    Single-staged male bladder exstrophy–epispadias complex reconstruction with pubic bone adaptation without osteotomy: 15-year single-center experience

    The bladder exstrophy–epispadias complex (BEEC), as a rare midline defect, is commonly accompanied by several anomalies including omphalocele, spinal defects and imperforate anus [ 1 ]. This malformation usually develops at around 4–6 weeks of …

  5. 01-06-2020 | Epispadia | ReviewPaper

    Male Genital Reconstruction in the Exstrophy-Epispadias Complex

    The exstrophy-epispadias complex (EEC) describes a range of congenital genitourinary malformations of varying severity. The complex may result in significant impairment of the urinary and sexual function of the patient. A significant number will …

  6. 01-04-2019 | Epispadia | OriginalPaper

    Complete penile disassembly in epispadias repair

    Epispadias (isolated or with bladder exstrophy closed) is a rare malformation. It is characterized by ectopia of urethral meatus (this meatus is located on the dorsal side of the penis), abnormal position of the urethra (above the corpus …

  7. 01-06-2019 | Epispadia | ReviewPaper

    Health-related quality of life among children, adolescents, and adults with bladder exstrophy–epispadias complex: a systematic review of the literature and recommendations for future research

    Bladder exstrophy–epispadias complex (BEEC) refers to a rare spectrum of genitourinary malformations ranging in severity from epispadias (E, incidence 2.4 in 100,000 births), the mildest form, to bladder exstrophy (BE, incidence 1–2 in 50,000 …

  8. Open Access 01-12-2016 | OriginalPaper

    CNV analysis in 169 patients with bladder exstrophy-epispadias complex

    The bladder-exstrophy-epispadias complex (BEEC; MIM %600057) represents the severe end of the uro-rectal malformation spectrum, and has a profound impact on continence and sexual and renal functions. The BEEC is an anterior wall midline defect …

  9. 01-09-2015 | ReviewPaper

    Exstrophy-Epispadias Complex

    Bladder exstrophy is a complex congenital birth defect ranging from complete epispadias to complete bladder exstrophy. Though not included in the exstrophy-epispadias complex (EEC) disease spectrum, cloacal exstrophy is a more severe form which …

  10. 01-02-2017 | OriginalPaper

    Comparing the bulking effect of calcium hydroxyapatite and Deflux injection into the bladder neck for improvement of urinary incontinence in bladder exstrophy–epispadias complex

    Long-term goals in children with bladder exstrophy–epispadias complex (BEEC) are provision of a successful bladder and abdominal wall closure along with cosmetic genitalia, preservation of renal function and urinary reservoir, and achievement of …

  11. 01-03-2008 | OriginalPaper

    The exstrophy-epispadias complex

    Patients with the exstrophy-epispadias complex are one of the most challenging groups encountered by pediatric urologists. They generally require surgery involving several reconstruction techniques, usually performed after the first week of life.

  12. Open Access 01-12-2009 | ReviewPaper

    The Exstrophy-epispadias complex

    Exstrophy-epispadias complex (EEC) represents a spectrum of genitourinary malformations ranging in severity from epispadias (E) to classical bladder exstrophy (CEB) and exstrophy of the cloaca (EC). Depending on severity, EEC may involve the …

  13. 01-06-1998 | OriginalPaper

    Newborn exstrophy closure and epispadias repair

    Over the last 150 years, bladder exstrophy has undergone a transition from a primarily nonsurgically treated disease to a disease treated by urinary diversion or staged repair and now, possibly, primary newborn reconstruction. Our enthusiasm for …

  14. 01-07-2002 | OriginalPaper

    A new technique for repair of exstrophy-epispadias complex

    We report a new method of repair of exstrophy-epispadias complex (EEC) at a second stage by using flaps from the skin between the penis and scrotum (the clitoris and labia majora in females) used in seven patients. The non-pigmented skin between …

  15. 01-12-2014 | ReviewPaper

    The Surgical Management of Male Epispadias in the New Millennium

    Male epispadias is a rare and challenging urologic condition. As part of the epispadias-exstrophy complex of genitourinary anomalies, it covers a broad spectrum with the mildest forms being the rarest. The anatomic classification into glanular …

  16. 01-08-2005 | Report

    A rare presentation of abortive epispadiac urethral duplication and vanishing midurethra

    We report a 4-year-old boy with a hitherto undescribed case of abortive epispadiac duplication of the urethra presenting as a blind-ending penopubic sinus proximally and a mucosa-lined groove overlying the glanular corona distally but with absent …

  17. 01-09-2005 | OriginalPaper

    Reconstruction of the penis in men born with epispadias and exstrophy

    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 …

  18. 01-11-2015 | OriginalPaper

    Skin cover in epispadias repair by dorsal transposition of a ventral island flap: a modification of the Pippi Salle technique

    Epispadias is a complex anomaly of the penis with an open defect on the dorsum and a generous supply of skin and prepuce on the ventrum. After the penile shaft and urethra have been anatomically reconstructed, it is important to provide a reliable …

  19. 01-05-2015 | OriginalPaper

    Double breasting of bladder neck and posterior urethra for continence in isolated peno-pubic epispadias

    Epispadias is a rare congenital anomaly, with a reported incidence of 1 in 117,000 males, and isolated incontinent variant is even rarer. Characteristics of epispadias are a dorsal urethral defect which is replaced by a broad mucosal strip lining …

  20. 01-09-2006 | OriginalPaper

    Bladder exstrophy and epispadias complex in sibling: case report and review of literature

    The bladder exstrophy and classic epispadias represent a spectrum of congenital anomalies with different degrees of anterior midline defect. Although the anomaly usually occurs sporadically there are some cases indicative of a strong genetic …

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