Garge Saurabh
Department of Pediatric Surgery, Choithram Hospital & Research Centre, Indore, India.
Urology. 2016 Apr;90:164-8. doi: 10.1016/j.urology.2015.09.040. Epub 2016 Jan 25.
To present an overview of the clinical presentation and pathological anatomy of epispadias with intact prepuce--a rare condition that has only occasionally been reported in literature.
We present two cases of concealed epispadias. We also review the available literature with regard to this rare condition. We found 14 cases in 7 studies that were reviewed. Relevant variables were reviewed and are discussed.
There were 13 of 16 cases presented with complaints of buried or webbed penis. In 11 of 16 cases, epispadias was suspected or diagnosed at first presentation and could be surgically corrected in the first intervention. Epispadias repair was successful with regard to cosmesis and erectile function in all cases, including ours.
Proper preoperative diagnosis and preoperative counseling of parents are essential for the successful treatment of this rare entity. Fewer complications, less additional interventions, and better continence rates seem to be noted for the boys with epispadias and intact prepuce.
概述包皮完整的尿道上裂——一种文献中仅偶尔有报道的罕见病症的临床表现及病理解剖。
我们呈现两例隐匿性尿道上裂病例。我们还回顾了关于这种罕见病症的现有文献。在我们回顾的7项研究中发现了14例病例。对相关变量进行了回顾并加以讨论。
16例中有13例主诉阴茎隐匿或有蹼状阴茎。16例中有11例在初次就诊时就怀疑或诊断为尿道上裂，且在首次干预时即可进行手术矫正。包括我们的病例在内，所有病例的尿道上裂修复在美容和勃起功能方面均获成功。
对于这种罕见病症的成功治疗，术前正确诊断及对家长进行术前咨询至关重要。包皮完整的尿道上裂男孩似乎并发症更少、额外干预更少且控尿率更高。
