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Long term outcomes in primary male epispadias

Journal of Pediatric Urology Nov 18, 2019

Thomas JS, et al. - Primary male epispadias individuals who underwent a transition into Adolescent and Adult Urology services were determined retrospectively from electronic patient records in order to determine what procedures and operations did these individuals need after their original surgery and to ascertain determine their outcomes as adults in relation to continence, cosmesis and sexual function. Thirty males were included. A total of 24 had penopubic epispadias, and six had penile epispadias. A total of 28 persons needed additional surgery over the follow-up period, 26 had surgery for continence and 12 needed revision surgery. At follow up, 15 people were continent voiding per urethra, nine reported stress leakage with volitional urethral voiding, six were using a Mitrofanoff to void, and four of these had an ileocystoplasty. Nineteen persons had documentation on their responses towards a cosmetic outcome, of which 17 showed concern. Documentation about sexual function was noted in 20 individuals and 20 had normal erections with six describing chordee and nine retrograde ejaculations. No individuals were noted to have fathered any children. Thus, these outcomes would be beneficial for clinicians who are counseling individuals and parents about expectations as adults.
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