Чекериди Ю.Э.

Introduction. Main symptoms of epispadias are characterized by partial or complete splitting of the urethra. The penis is shortened due to the separation of symphysis pubis and has dorsal deformation because of tunica albuginea hypoplasia on its dorsal side. The glans penis is flattened and the foreskin covers only its ventral side. Boys with subtotal and total epispadias have partial or complete urinary incontinence.

Th e paper is dedicated to primary bladder reconstruction with local fl aps in children with exstrophy. An original method of bladder neck reconstruction with local fl aps with obligatory convergence of pubic bones in newborn infants has been proposed. 93 infants underwent surgery in the period from 1988 to 2009. Th e main group consisted of patients who underwent primary bladder reconstruction with local fl aps with convergence of the symphysis pubis bones (81). In 17 infants the procedure was supplied by the ileal osteotomy.