Female Epispadias Presenting as Urinary Incontinence

Asmir Jonuzi, Nusret Popović, Zlatan Zvizdić, Emir Milišić, Kenan Karavdić, Paddy Dewan

Abstract


Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora. The vagina and hymen were normal. Voiding cystourethrogram showed no reflux and a funnel shaped proximal urethra. With the diagnosis of isolated female epispadias, one-stage reconstruction of the urethra, bladder neck, labia minora and clitoris was performed.


Keywords


Epispadias, Bifid clitoris, Urethra, Urinary incontinence

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DOI: http://dx.doi.org/10.21699/ajcr.v8i2.548

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