Abstract

Epispadias is a rare congenital abnormality of the genitalia that is manifested by a dorsal urethral cleft. Epispadias surgery has undergone many modifications since the initial report of Cantwell. 1 Mitchell recently developed a new technique involving complete disassembly of the corporeal glandular bodies and urethral plate.2 This approach is a significant contribution to epispadias surgery. Complete separation of the corpora cavernosa provides an effective ventral corporeal counter-rotation to correct epispadiac dorsal chordee. The technique also restores an anatomically normal glans. The only disadvantage of this approach is the occasionally encountered short urethra during the repair. We describe a new method to overcome this problem during Mitchell epispadias repair.

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