Male Epispadias Repair Surgical and Functional Results with Modified Cantwell-Ransley Procedure / Case Series Study

Abstract

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.