Male epispadias repair surgical and functional results with modified cantwell-ransley procedure : case series study

Abstract EN

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.