Female Epispadia: Stress urinary incontinence and pelvic organ prolapse

Abstract

Background: Female Epispadia is a rare congenital Urogenital system syndrome, which is characterized by a bifid clitoris, depressed mons pubis, the labia is separated and variable urethral defect. The dorsal wall of the urethra is defective and via cystoscopy it is seen as short and wide. The syndrome is presented with primary urinary incontinence and abnormal anatomical features. Urinary incontinence level in female patient depend from level of the defect and imperative surgical treatment. Incidence of epispadia without extrophy is 1/117000 in males and 1/480000 in females. This malformation can be diagnosed in the fetus during pregnancy. In female epispadia often vagina and internal genitalia is normal, but can be associated with sexual dysfunction. [...].