{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:36:25Z","timestamp":1761510985141},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T00:00:00Z","timestamp":1397520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe our experience performing the modified penile disassembly technique for boys with epispadias and for those undergoing complete primary repair of exstrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2004 and <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2009, 34 boys underwent the modified penile disassembly technique at our institution. The first group included 15 boys with bladder exstrophy who underwent complete primary repair of exstrophy. The second group comprised 11 boys with penopupic epispadias after previous closure of bladder exstrophy. The third group included 8 boys with isolated complete epispadias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The age range was 3 months to 8 years (median, 9 months). The follow\u2010up time ranged from 36 months to 8 years (mean, 63 months). A conical\u2010shaped glans with the absence of any ischemic changes occurred in 94% of patients. A mild degree of penile dorsal tilt occurred in 11.7% of patients, urethrocutanous fistula in 17.6% and meatal stenosis 5.8%. In cases of complete primary repair of exstrophy, hydronephrosis occurred in 66.6% of patients. Vesicoureteral reflux appeared in 60% of patients; despite suppressive antibiotic therapy, 33.3% are awaiting reimplantation. Continence with volitional voiding with dry intervals of \u22653\u2009h was achieved in 40% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The modified penile disassembly technique can be used in epispadias and complete primary repair of exstrophy with excellent cosmetic results. Preservation of the distal urethral plate along with both hemiglans avoids shortening and prevents occurrence of hypospadias. Complete primary repair of exstrophy is a feasible technique with positive effects on continence with preservation of kidney function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12469","type":"journal-article","created":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T23:56:42Z","timestamp":1397606202000},"page":"936-940","source":"Crossref","is-referenced-by-count":7,"title":["Modified penile disassembly technique for boys with epispadias and those undergoing complete primary repair of exstrophy: Long\u2010term outcomes"],"prefix":"10.1111","volume":"21","author":[{"given":"Ahmed Zaki Mohamed","family":"Anwar","sequence":"first","affiliation":[{"name":"Department of Urology Faculty of Medicine El\u2010Minia University  El\u2010Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamdouh Abdel\u2010Hamid","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine El\u2010Minia University  El\u2010Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alayman","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine El\u2010Minia University  El\u2010Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa Mohammed","family":"Shaaban","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine El\u2010Minia University  El\u2010Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)68966-3"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)80167-8"},{"key":"e_1_2_8_4_1","first-page":"620","volume-title":"Rob and Smith's Operative Surgery. 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