Exstrophy Epispadias Complex – Successful results with surgery


The primary goal of treatment is to maintain normal urination and prevent urinary tract infections.

Epispadias, congenital malformations of the genitalia and in men it is characterized by urethral opening at the top of penis instead of the tip, in girls it is characterized by variable forked cleft of the clitoris and urethra. It is more frequent in boys than girls. The incidence is 1 in 10,000-50,000 live births. Epispadias in males can usually be diagnosed soon after birth, in girls may be overlooked. Especially for the diagnosis of exstrophy-epispadias complex encountered no need for further testing. Epispadias is considered as the lowest level of this complex disease. Exstrophy-epispadias complex, when the baby yet in the mother's womb, the abdominal wall and is held behind not properly met. Therefore, when baby comes to world, bladder and other different organs may be outside the body. Epispadias can be treated with surgery to be done in the first few months followed the birth of a baby. Exstrophy-epispadias complex surgery should be performed within the first 2-3 days following the birth. Sperm quality is low in some of the male patients. In addition to this, with dorsal and short, thick penis, sexual intercourse can be more difficult. But thanks to advances in the surgical treatment of this disease, these serious problems can be treated. Along with these prostate, bladder and kidney infections and psychological problems due to deformation have been identified. When fully epispadias is concerned, urinary incontinence and low bladder capacity may also occur. Associated problems usually involves the genitals system and pubic bone diastase. In nearly forty percent of patients, reflux can be observed. Treatment is surgical. If surgery administered within the first few months of life, this increases the child's chances of having a normal bladder capacity. The primary goal of treatment is to maintain normal urination and prevent urinary tract infections.


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