Epispadias repair using the Mitchell technique

Purpose: The results of epispadias repair using Mitchell's technique in nin e patients is analyzed and the advantages of the procedure discussed. Methods: Nine boys aged between 6 weeks and 6 years underwent epispadias re pair between November 1996 and March 1998 (Penopubic epispadias, inferior v esical fissure, and midpenile epispadias, one patient each; exstrophy episp adias complex, six patients), Eight patients had first attempt at repair of epispadias. Two patients had closure of exstrophy and epispadias at one st age. Results: At a mean follow-up of in months, all children had a conical glans , eight patients had ventral orthotopic meatus, and one had coronal hypospa diac meatus. Minor penopubic fistula developed in one patient. Six patients had downward angled penis, and three had horizontal penis in a flaccid sta te. All children were observed to have good erections during sleep. Conclusions: Mitchell's technique of epispadias repair allows an anatomic r econstruction of the penis with superior cosmetic and functional results. L ong-term follow-up studies are necessary to evaluate the genital functions. Copyright (C) 1999 by W.B. Saunders Company.