[Modification of Derzhavin sphyncteroplasty and elimination of symphysis diastasis of the pubic bone in severe epispadia].

In 1990-2006 Tashkent Medical Academy Clinic admitted 71 patients (63 boys and 8 girls) with subtotal and total forms of epispadia which in some cases combined with extrophy of the bladder. Thirty-nine patients of this group were treated with conventional Derzhavin sphynctroplasty with suturing the borders of the pubic symphysis. Urinary incontinence was eliminated partially or completely in 72.3% cases, diastasis of pubic symphasis was not corrected. Thirty two patients were treated with modified Derzhavin sphyncteroplasty and an original technique of symphysis diastasis correction. Good and satisfactory results were obtained in 90.6% patients. X-ray detected no cases of divergence of symphysis 2 months after surgery.