Nawaz Gul, Muhammad Shujah, Jamil Muhammad Imran, Rehman Asad Ur, Khawaja Muhammad Athar, Hussain Ijaz, Akber Mian Khalid, Akhter Saeed
J Ayub Med Coll Abbottabad. 2014 Oct-Dec;26(4):616-7.
Isolated female epispadias without bladder exstrophy is a rare congenital anomaly. Patients present with total or partial urinary incontinence. The diagnosis can only be made on careful genitalia examination by separating the labia majora. That is why it is often missed by most physicians even after being extensively investigated. The physical findings include patulous urethra, flattened mons pubis, and bifid clitoris with lack of anterior labial commissure. In most of the cases, single stage reconstruction of urethra, labia minora and clitoris is enough to achieve urinary continence with cosmetically acceptable genitalia.
孤立性女性尿道上裂且无膀胱外翻是一种罕见的先天性异常。患者表现为完全或部分尿失禁。只有通过仔细分开大阴唇进行生殖器检查才能做出诊断。这就是为什么即使经过广泛检查，大多数医生也常常会漏诊。体格检查结果包括尿道开放、耻骨联合扁平、阴蒂分叉且无前唇联合。在大多数情况下，一期重建尿道、小阴唇和阴蒂足以实现尿失禁控制且使生殖器外观可接受。
