Hendren W H
J Urol. 1981 Apr;125(4):558-64. doi: 10.1016/s0022-5347(17)55105-8.
Six cases are described of congenital female epispadias and incontinence. Of these patients 3, who were seen in the last 4 years, were made continent by a 1-stage operation using a combined perineal and transvesical approach. The procedure includes excising the abnormally wide roof of the distal urethra from below narrowing the urethral caliber and mons plasty. From above the upper urethra and bladder neck are narrowed. Ureters are reimplanted if they have reflux or to facilitate bladder neck narrowing. The 3 other cases are described in which this combined procedure could have been used, in retrospect, to obtain a satisfactory result with fewer operations. In female epispadias complete repair of the abnormally wide urethra is better than other alternatives that have been proposed for treating this rare malformation.
本文描述了6例先天性女性尿道上裂合并尿失禁的病例。其中3例患者是在过去4年中接诊的，通过采用会阴联合经膀胱入路的一期手术实现了控尿。该手术包括从下方切除远端尿道异常宽阔的顶部以缩小尿道口径，并进行阴阜成形术。从上方对尿道上段和膀胱颈进行缩窄。如果输尿管存在反流或为便于膀胱颈缩窄，则进行输尿管再植术。还描述了另外3例病例，回顾来看，采用这种联合手术本可通过较少的手术获得满意结果。在女性尿道上裂中，对异常宽阔的尿道进行完全修复比已提出的用于治疗这种罕见畸形的其他方法更好。
