RESUMO

This video provides a case report of a 3 year old girl with epispadia and the highlights of the surgery. A cystoscopic guided bladder neck plication was performed to achieve continence. Key points include: (1) Skin incision planning; (2) Cutaneous flap liberation to create a new urethra; (3) Complete bladder neck release to allow a controlled plication; (4) Use of cystoscopy to achieve the ideal bladder neck closure; (5) Bladder neck manipulation to achieve continence.

Assuntos

Epispadia/cirurgia , Uretra/cirurgia , Bexiga Urinária/cirurgia , Incontinência Urinária/cirurgia , Micção/fisiologia , Procedimentos Cirúrgicos Urológicos/métodos , Pré-Escolar , Cistoscopia , Epispadia/complicações , Epispadia/diagnóstico , Feminino , Humanos , Incontinência Urinária/etiologia