Modified Cantwell-Ransley procedure for epispadias repair in 37 patients

VernacularTitle:改良Cantwell-Ransley方法修复尿道上裂37例报告
Author: Wenguang WANG ; Yujie WANG
Publication Type:Journal Article
Keywords: Epispadias; Bladder exstrophy; Modified Cantwell-Ransley procedure
From: Chinese Journal of Urology 2015;36(4):307-309
CountryChina
Language:Chinese
Abstract: Objective To present the outcomes of modified Cantwell-Ransley procedure in 37 patients with isolated epispadias and exstrophy complex.Methods A total of 37 patients underwent modified Cantwell-Ransley epispadias repair.The median age at surgery was 6.6 years (range 1-32).Of the 37 patients,13 patients had isolated penopubic epispadias and 24 had bladder exstrophy with no previous attempts at epispadias repair.Nine patients with exstmphy complex underwent complete primary repair,while other 15 cases received urinary diversion.Results The patients were followed up for 6 months to 3 years (mean,12 months).All patients had normal conical symmetric glans/corpora and an orthotopic meatus.The complications included glans/corporal ischemia (1 case),urethral fistula (3 cases),and foreskin infection (1 case).Conclusions Modified Cantwell-Ransley procedure is safe and effective for epispadias repair.Cosmetic appearance and functional outcomes of the penis are encouraging.