METHOD FOR SURGICAL MANAGEMENT OF SUBSYMPHYSEAL EPISPADIAS IN GIRLS Russian patent published in 2024 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgical urology. 4 incisions are made, the first longitudinal incision 3 cm long being made from an external opening of the urethra upwards to the pubis. Proximal urethra is separated to a bladder neck, freeing it from congenital adhesions. Second incision is made – a transverse one with length of 3.5 cm between the labia minora with a bypass from above of the external opening of the urethra. Further, parallel incisions are made to the right and to the left of the mucous path, which is a continuation of the posterior wall of the urethra with an indent from it by 0.7 cm. Fourth transverse incision 3.5 cm long is made distally, at the level of the newly created external urethral opening. Then two flaps of vaginal vestibule mucosa are separated from both sides, and distal part of urethra is formed from flaps. Anastomosis is applied between the proximal and distal portions of the urethra; a bladder neck is corrugated; the skin and mucous membrane of the vestibule are sutured over the newly created urethra.

EFFECT: method enables eliminating the adhesive process around the proximal urethra, lengthening the urethra, creating favourable conditions for urination.

1 cl, 3 dwg