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Case Reports
. 2017 Mar 18;8(2):10.
doi: 10.21699/ajcr.v8i2.548. eCollection 2017 Mar-Apr.

Female Epispadias Presenting as Urinary Incontinence

Asmir Jonuzi  1 , Nusret Popovic  1 , Zlatan Zvizdic  1 , Emir Milišic  1 , Kenan Karavdic  1 , Dewan Paddy  2
Affiliations
Case Reports

Female Epispadias Presenting as Urinary Incontinence

Asmir Jonuzi et al. APSP J Case Rep. .

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: Bifid clitoris; Epispadias; Urethra; Urinary incontinence.

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Figures

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Figure 1: Bifid clitoris, depressed mons with deficient dorsal wall and normal vaginal opening
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Figure 2: Micturating cystourethrogram before operation showing pubic diastasis and no vesico ureteral reflux.
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Figure 3: Postoperative appearance.
See this image and copyright information in PMC

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