Complete Male Epispadias: Genital Reconstruction and Achieving Continence

Jacob Ben-Chaim, Dennis S. Peppas, Robert D. Jeffs, John P. Gearhart

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


We report on 15 patients who were primarily treated for complete male epispadias at our institution since 1975. Repair of epispadias was performed using a modified Young urethroplasty in 13 patients and a Cantwell-Ransley urethroplasty in 2. In addition, 2 patients underwent a Cantwell-Ransley urethroplasty with chordee repair after a previous Young urethroplasty failed. Bladder capacity increased from a mean of 50 cc before repair to 92 cc after urethroplasty. A urethrocutaneous fistula developed in 6 cases, including 5 Young repairs and 1 Cantwell-Ransley. Three fistulas resolved spontaneously and there were no urethral strictures. Bladder neck reconstruction was performed in 11 patients. Time to initial continence ranged from 21 days to 6 months (mean 3 months) postoperatively. All patients attained daytime continence in a mean of 9 months (range 21 days to 24 months) after bladder neck reconstruction, including 9 of 11 (82 percent) who achieved total day and night continence. Mean followup was 7 years (range 1 to 10). Modern treatment of complete male epispadias allows for an excellent genital appearance and achievement of urinary continence.

Original languageEnglish (US)
Pages (from-to)1665-1667
Number of pages3
JournalThe Journal of urology
Issue number5
StatePublished - May 1995

ASJC Scopus subject areas

  • Urology


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