Delayed presentation of isolated female epispadias with urinary incontinence: a case report

Abstract Background Female epispadias is a rare congenital anomaly, with quoted incidence of 1 in 480,000.These patients present urinary incontinence and varying degrees external genitalia abnormality. This report presents the delayed presentation management 14-year-old female due to isolated epispadias. Case case noticed since infancy. Examination revealed bifid clitoris, depressed mons pubis, underdeveloped labia, patulous urethral opening, normal vagina. She had surgical repair anomaly has subsequently achieved continence. been continent last 4 ½ years follow-up now married 1-year-old child. Conclusion but often missed cause incontinence. A high index suspicion careful genital examination will help identifying this anomaly. Surgical correction achieves satisfactory outcome as regards continence cleanliness. Long-term essential.