Abstract

Background/Purpose: Epispadias is a rare congenital anomaly of the external genitalia occurring in approximately one in 118 000 males and one in 400 000 females. The purpose of this study is to evaluate the results ofCantwell-Ransley operation in the repair of complete epispadias. Patients & methods: Between June 2006 and June 2012, 11 patients with complete epispadias were treated with the Cantwell-Ransley technique at the Pediatric Surgery Unit­ Tanta University Hospital. Patients were followed up for 3 months to report any complication. Results: 11 male cases with epispadias were admitted to the Pediatric Surgery Unit-Tanta University Hospital in the period from June 2006 to June 2012 with history of bladder exstrophy repair 1-2 years earlier. All cases were peno-pubic. Their age ranged from 1 7112 years to 3 years, with a mean of 2 3/12 years. Cantwell-Ransley operation was performed to all patients with satisfactory results. Only one case showed mild wound infection that was conservatively managed. Another case developed urethra cutaneous fistula, which was surgically treated by simple excision & closure after 6 months of epispadias repair. Conclusion: The cosmetic and functional outcomes ofCantwell-Ransley epispadias repair appear to be excellent

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