尿道上裂的分离

                               
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Isolated epispadias defect is present in 10% of epispadias exstrophy complex. 25 yr. Old male presented with abnormal urethral opening on dorsal aspect of penis, with history of repair once in childhood. On examination he had peno-pubic isolated epispadias with adequate urethral plate and minimal chordae. His NCCT abdo-pelvis, MCUG and basic bio chemical investigation found to be normal. He was treated by partial penile disassemble technique with restoring satisfactory cosmetic appearance without chordee and adequate stream of urine. Our repair of partial penile disassembly is a simple modification of Mitchell technique for isolated epispadias repair.
Dr. Venkat A Gite