Mollard P, Basset T, Mure P Y
Hôpital Debrousse, Lyon, France.
J Urol. 1997 Oct;158(4):1543-6.
We assessed the incidence, anatomical features and treatment of female epispadias.
We studied 10 patients followed from 1 to 18 years. Four were operated on in 2 stages: first, cervicoplasty with original technique, and second, reconstruction of genitalia and distal urethra. Two had only a cervicoplasty. The last 4 patients were operated on in 1 stage according to Hendren's technique but with a simplified cervicoplasty.
Eight of 10 patients are totally continent, 1 has some small nocturnal leakage, and 1 is incontinent but the interval of dryness is increasing and is longer than 1 hour. Concerning external genitalia, the result is good but not perfect.
Female epispadias is most often complete with total incontinence. The aim of treatment is to reconstruct the anatomy in 1 stage. Treatment is easier and the results are better than in cases of female exstrophy or male incontinent epispadias.
我们评估了女性尿道上裂的发病率、解剖特征及治疗方法。
我们对10例患者进行了1至18年的随访。4例患者分两期进行手术：第一期采用原始技术进行宫颈成形术，第二期进行生殖器和远端尿道重建。2例仅进行了宫颈成形术。最后4例患者根据亨德伦技术一期手术，但简化了宫颈成形术。
10例患者中有8例完全控尿，1例有少量夜间漏尿，1例尿失禁，但干燥间隔时间在增加且超过1小时。关于外生殖器，结果良好但不完美。
女性尿道上裂最常见的是完全性且伴有完全尿失禁。治疗的目的是一期重建解剖结构。与女性膀胱外翻或男性失禁性尿道上裂相比，治疗更容易且效果更好。
