Unal D, Yeni E, Verit A, Ciftci H
Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey.
Int Urol Nephrol. 2000;32(2):287-90. doi: 10.1023/a:1007148026291.
Epispadias surgery has mainly two components: bladder and genitourethral reconstruction. Herein, a novel vulvoplasty method, an alternative for the latter component, carried out in a rare case of female epispadias was presented. In a 6-year-old girl admitted with complaint of total incontinence, epispadias without evident extrophy associated with adequate bladder capacity was determined. Firstly the vulvoplasty in which a circumferencial skin flap around the urethral meatus was rolled backwards, and secondly bladder neck reconstruction was performed. The vulvoplasty resulted in sufficient cosmetic outcome and continence up to half an hour, and after cervicoplasty total day and night continence at rest or on exertion were obtained. It was concluded that this vulvoplasty with sufficient cosmetic outcome could be considered as a first stage operation in female epispadias, because it could facilitate bladder neck reconstruction by increasing urethral resistance, and contribute to continence.
膀胱和生殖尿道重建。本文介绍了一种新型的外阴成形术，作为后者的替代方法，该方法应用于一例罕见的女性尿道上裂病例。一名6岁女孩因完全失禁入院，诊断为无明显膀胱外翻的尿道上裂且膀胱容量充足。首先进行了外阴成形术，即将尿道口周围的环形皮瓣向后翻转，其次进行了膀胱颈重建。外阴成形术取得了足够的美容效果，实现了长达半小时的控尿，宫颈成形术后，患者在休息或用力时实现了全天和夜间的完全控尿。得出的结论是，这种具有足够美容效果的外阴成形术可被视为女性尿道上裂的一期手术，因为它可以通过增加尿道阻力来促进膀胱颈重建，并有助于实现控尿。
