Male Epispadias Repair Surgical and Functional Results with Modified Cantwell-Ransley Procedure / Case Series Study
Keywords:
Cantwell-Ransley technique, epispadias repairAbstract
Background: epispadias is an unusual congenital malformation of the penis and is often part of the condition termed epispadias exstrophy complex. There are different surgical techniques for repair of epispadias.
Objective: evaluation of our experience in male epispadias repair by modified Cantwell - Ransley technique.
Patients and Methods: Twenty-four male patients with epispadias (eighteen cases with isolated epispadias and six cases associated with bladder Exstrophy) had undergone repair by modified Cantwell-Ransley technique in Al-Sader Medical City, Najaf. The patients age range from 1 year to 26 years with mean age 8.6 years. Primary repair was achieved in 20 patients and secondary repair was accomplished after prior unsuccessful closure in four patients.
Results: The patients were followed up at 3, 6 and 12 months postoperatively. No patient develops major complication like urethrocutaneous fistula or urethral stricture. One patient develops minor skin dehiscence.
Conclusion: Epispadias repair by modified Cantwell-Ransley technique have excellent functional and cosmetic result.
References
- Gearhart JP, Mathews RI. Exstrophy epispadias complex. Campbell-Walsh Urology, 11th ed. Saunders Elsevier: Philadelphia; 2016, p. 3325.
- Ransley, P.G., P.G. DUFFY, and M. Wolin, Bladder extrophy closure and epispadias repair. Operative surgery, ed. Butterworth. 1988, London.
- Mitchell, M.E. and D.J. Bagli, Complete penile disassembly for epispadias repair: the Mitchell technique. J Urol, 1996. 155(1): p. 300-4.
- Kelly, J.H., Vesical extrophy: repair using radical mobilisation of soft tissues. Pediatr Surg Int, 1995. 10: p. 298-304.
- Frimberger D et al, Diagnosis and management of epispadias. Semin Pediatr Surg. 2011 May; 20(2):85-90. doi: 10.1053/j.sempedsurg.2011.01.003.
- Gearhart JP, et al. The Cantwell–Ransley techniquefor repair of epispadias. J Urol 1992; 148:851–4.
-Male epispadias repair: surgical and functional results with the Cantwell-Ransley procedure in 40 patients. J Urol. 1999 Sep; 162(3 Pt 2):1176-80.
-Gearhart JP.et al. The modified Cantwell-Ransley repair for exstrophy and epispadias: 10-year experience. J Urol. 2000 Sep; 164(3 Pt 2):1040-2; discussion 1042-3.
- SurerI,Baker LA,JeffsRD,GearhartJP.The modifiedCantwell-Ransley repair for exstrophy and epispadias: 10-year experience. J Urol 2000; 164:1040-2.
- Baird AD, Gearhart JP, Mathews RI. Applications of the modified CantwellRansley epispadias repair in the exstrophy-epispadias complex. J Pediatr Urol 2005; 1:331-6)