Female epispadias managed by bladder neck plication via a perineal approach

Female epispadias is a rare genitourinary anomaly characterized by urinary incontinence and typical appearance of the external genitalia. Traditional surgical approaches have involved a staged genitoplasty and interval bladder neck reconstruction. We describe further experience of a promising single-stage technique using a cystoscopically guided bladder neck plication via a perineal approach with combined genitoplasty.

► Female epispadias is a rare and often missed cause of urinary incontinence.
► Traditionally suprapubic bladder neck reconstruction is performed using the Young–Dees–Leadbetter technique.
► We describe 2 cases managed by bladder neck plication via a perineal approach.