Surgical management of urinary incontinence in girls with congenitally short urethra.

We treated 6 girls with total urinary incontinence secondary to a congenitally short urethra by a combination of extensive internal and external urethral lengthening. Of the patients 3 had hypospadias and 3 had severe epispadias. All 6 are dry during the day and 1 has nighttime wetting. Success depends upon the creation of a long neourethra and a new continence zone.