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Journal of Case Reports
Modified Cantwell-Ransley Repair of Male Penopubic Epispadias: Report of Two Cases and Review of the Literature
Bijit Lodh, Somarendra Khumukcham, Bernard Amer, Kaku Akoijam Singh
From the Department of Urology, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, India.
Corresponding Author:
Dr. Bijit Lodh
Email: drblodh@yahoo.co.in
Received: 12 AUG 2013 Accepted: 9-SEP-2013 Published Online: 25-SEP-2013
DOI: http://dx.doi.org/10.17659/01.2013.0080
Abstract
The reported incidence of male epispadias is 1 in 1,17,000 male births. The majority of cases go unseen in surgeons’ life because of uncommon existence of this anomaly. We present our experience using the modified Cantwell-Ransley technique; particularly focusing on postoperative anatomical and functional outcomes. Between 2011 and 2013, two boys having primary penopubic epispadias with the spraying of urinary stream underwent one stage surgical reconstruction. Cavernocavernostomy was performed in all cases as a part of a procedure to correct dorsal curvature and for penile lengthening, but none of them required bladder neck procedure.  At 3rd and 6th month follow-up period both of them found to have significant step forward subjective and objective outcomes. The cosmetic appearance of the phallus was not satisfactory in one case and it is because post-operatively the patient developed necrotic patches over the glans and neo-urethral skin that healed with fibrosis.
Keywords : Epispadias, Male Genitalia, Urinary Bladder, Penis, Reconstructive Surgical Procedures, Urethra.
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