Glandular Epispadias Repair: A Case Report

Abstract

Introduction : Epispadias is a rare form of urogenital congenital anomaly with cosmetic consequences on the quality of life. We hereby report the case of a 10-year-old male child presenting with glandular male epispadias treated using the penile disassembly Mitchell technique, for which cosmetic and functional outcomes were good. Case Presentation : Our patient is a 10-year-old male with a history of penoplasty at 6 years of age, indicated for a penile abnormality and urinary incontinence, who presented to our facility with persistent urinary incontinence from an abnormal opening since birth. Examination revealed a tween boy having both testicles in the scrotum. He had a spade-like glans penis, ventral hooding, urethral meatal plaque at the dorsal aspect of the penis with no chordee. He was diagnosed with Isolated Male Epispadias (IME), for which he eventually had a Mitchell procedure under general anesthesia. About 4 weeks after the procedure, the patient was continent, with no urethrocutaneous fistula, and the cosmetic outcome was satisfactory. Conclusions: Appropriate treatment, irrespective of age, could significantly improve patients’ quality of life.