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Epispadias Surgery

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Experience Advanced Epispadias Surgery with Leading Specialists in Turkey

Turkey has established itself as a premier destination for medical tourism, particularly in urology surgery. With its cutting-edge healthcare system, modern hospitals, and renowned surgeons, the country offers world-class treatments at a fraction of the cost found in many Western countries. Patients from around the globe seek out Turkey for affordable, high-quality surgeries, often achieving excellent outcomes. This combination of expertise and cost-effectiveness makes Turkey an increasingly popular choice for medical travelers.

Prospero Medical partners with top urology specialists in Turkey, ensuring that patients receive the best possible care for Epispadias surgery. Our network of trusted healthcare providers utilizes state-of-the-art technology and advanced surgical techniques, making the process smoother and more efficient. Whether you need a consultation or a comprehensive treatment plan, Prospero Medical is here to guide you every step of the way. For more details on Epispadia surgery in Turkey, contact us for a free quote or consultation.

What does Epispadias Surgery involve?

Epispadias is a rare congenital condition where the urethra does not develop properly. It is a condition where the urethra does not fully form, causing urine to exit from an abnormal location. The exact cause is unknown, but it may be linked to improper development of the pubic bone. It is often caused by developmental malformations during embryogenesis, likely due to reduced exposure of the fetus to essential sex hormones such as androgens and estrogens. This hormonal imbalance can disrupt normal urethral formation, leading to an abnormal opening and associated urinary and reproductive challenges.

Epispadias may occur alongside bladder exstrophy, a rare congenital condition where the bladder is turned inside out and protrudes through the abdominal wall. In boys, the urethra typically opens on the top or side of the penis, although it can extend along the entire length of the penis. In girls, the opening is usually found between the clitoris and labia, but it can also occur in the abdominal area. In epispadias, there is a gap between the expected location of the urethral opening and its actual position, leaving it exposed. Epispadias is typically identified at birth or shortly after.

Who Are the Eligible Candidates for Epispadias Surgery?

Eligible candidates for epispadias surgery include individuals with either male or female genitals who experience symptoms such as difficulty urinating, incontinence, painful urination, or recurrent urinary tract infections due to the abnormal urethral opening. If left untreated, epispadias can lead to long-term complications, including sexual dysfunction, infertility, and emotional insecurities, particularly in intimate relationships. Surgery is recommended to address these issues and improve both function and quality of life.

How is Epispadias Surgery performed ?

Epispadias surgery involves reconstructing the urethra to ensure proper urinary function and improve the appearance of the genitalia. The procedure typically takes place within the first two years of life and aims to reposition the urethral opening at the tip of the penis or within the normal anatomical location in females. In some cases, hormonal therapy may be used alongside surgery, particularly when epispadias is associated with other conditions, such as micropenis due to low androgen levels. The surgical approach varies depending on the severity of the condition but generally focuses on restoring function, continence, and cosmetic appearance. Epispadias surgery takes about 2 to 4 hours, depending on the specific surgical technique.

Preparation for the Surgery

Before undergoing epispadias surgery, a thorough medical evaluation is essential to ensure the best possible outcome. Patients are advised to follow specific preparatory steps, including medical assessments and screenings, before and upon arrival in Turkey.
• Patients should submit their medical records, radiological screenings, and X-rays (if available) for an initial assessment of their condition.
• Any ongoing treatment plans and current medications should be disclosed to ensure a well-informed surgical approach.
To confirm the diagnosis and assess the urinary tract, several imaging studies and tests may be conducted, including:
• Excretory Urogram (IVP): A series of X-rays that track urine flow through the kidneys, bladder, and urethra.
• Pelvic X-ray & Ultrasound: To evaluate the structure of the urogenital system.
• MRI & CT Scans: Used when more detailed imaging is required.
• Blood Tests: To check electrolyte levels and overall health status.
A final physical examination and consultation with the surgeon determines the personalized treatment approach based on the diagnostic findings.

Types of Anaesthesia

Epispadias surgery is typically performed under general anesthesia, ensuring the patient is completely unconscious and pain-free throughout the procedure. In some cases, regional anesthesia (such as spinal or epidural anesthesia) may be used in combination with general anesthesia to provide additional pain relief during and after surgery.

Surgical Techniques

For Infant Boys:

A midline incision is made along the penile shaft to expose the malformed urethra. The surgeon carefully dissects and mobilizes the urethra, freeing it from abnormal attachments to allow repositioning. Two primary surgical techniques may be used, depending on the severity of epispadias:

1. Modified Cantwell-Ransley Technique
This technique is used for less severe cases of epispadias. The surgeon partially reconstructs the penis and moves the urethra to a better location while preserving as much normal tissue as possible. The urethra is tubularized and repositioned to ensure urine exits from the tip of the penis. If there is insufficient urethral tissue, additional tissue grafts (from the bladder or inner cheek mucosa) may be used. This technique reduces surgical complexity while improving function and appearance.

2. Mitchell Technique(Complete Penile Disassembly):

This technique is used for severe epispadias and bladder exstrophy cases. In cases of severe epispadias, the penis may be curved (dorsal chordee). The surgeon completely reconstructs the penis, fully detaching and repositioning the urethra. The surgeon will straighten the shaft using specialized suturing techniques or tissue rearrangement.

The skin is carefully repositioned and sutured to create a natural-looking genital appearance. A catheter (typically a suprapubic catheter or urethral stent) is placed to allow urine drainage while healing occurs. The surgical site is covered with a protective dressing.

For Infant Girls:

The patient is positioned in the lithotomy position (legs elevated). A midline perineal incision is made to access the urethra and surrounding tissues. The surgeon mobilizes the urethral opening, which is typically located between the clitoris and labia but may be in an abnormal location. The urethral opening is moved closer to its normal position near the vaginal entrance. If necessary, the urethral tube is reconstructed to ensure proper urinary flow and reduce the risk of incontinence. In severe cases, the clitoris may be split or widely separated. The surgeon may perform clitoral reconstruction to restore a more typical appearance. The labia minora and labia majora may also be reshaped for symmetry.
The incisions are closed with absorbable sutures, a catheter is placed to assist with urine drainage during healing, and the surgical site is covered with a protective dressing.

Recovery Facts with Epispadias Surgery

Recovery from epispadias surgery varies depending on the complexity of the procedure, but most patients gradually heal within a few months. Swelling and bruising around the surgical site are common and typically subside within a few weeks. It is crucial to keep the surgical area clean and dry to reduce the risk of infection, following the surgeon’s instructions for dressing changes and hygiene practices.

To prevent complications, patients should avoid strenuous activities such as running and jumping for at least 4 to 6 weeks. In boys, temporary discomfort during erections may occur but generally improves as healing progresses. Regular follow-ups with the medical team help monitor progress and ensure optimal recovery.

Post-Operative Key Points with Epispadias Surgery

The hospital stay typically lasts 2 to 5 days, depending on the complexity of the surgery.
A catheter is usually left in place for 7 to 14 days to allow proper healing.
Regular checkups are necessary to assess urinary function, remove the catheter, and monitor healing progress.
We provide regular follow-ups for 6 months to 1 year post-surgery to track recovery once patients return home.
It is crucial that patients report any post-operative concerns directly to our clinic before seeking assistance from third-party specialists to ensure proper care.

Benefits of Having Espadias Surgery in Turkey

Turkey is not only a leading destination for medical treatments across a variety of disciplines but also a country renowned for its rich historical heritage and warm hospitality. This combination makes Turkey an exceptional choice for those seeking epispadias surgery. Opting for this procedure in Turkey offers numerous benefits, some of which may surpass the advantages of undergoing the surgery privately in one’s home country. These benefits include:

High level of medical expertise with experienced urologists who specialize in complex procedures like epispadias surgery.
Top-tier private hospitals equipped with cutting-edge technology to ensure precision and optimal outcomes.
Personalized aftercare that integrates the warmth and care of Turkish hospitality, making the recovery experience more comfortable and supportive.
Competitive pricing, offering high-quality treatment at a fraction of the cost as compared to other countries, providing great value for money.
Ideal recovery setting, where medical treatments are complemented by supportive therapies such as physiotherapy to enhance the recovery process.

How Much Does Epispadias Surgery in Turkey Cost?

Choosing the right clinic for epispadias surgery can feel overwhelming with so many options out there. The sheer number of commercial ads and online promotions can make it difficult to navigate through and find a clinic that truly ticks all the right boxes. So, how do you ensure that you’re making the best decision for yourself?
Start by focusing on these key criteria:

Honest, unbiased medical advice that prioritizes your well-being over any commercial interests.
Building a strong, empathetic relationship with your surgeon and care team, ensuring they genuinely understand your concerns and manage your expectations.
Putting your safety and overall health at the forefront of every decision.

When it comes to pricing, it’s essential to review the following factors to get a realistic cost estimate:

The clinic’s professional reputation and standing.
The complexity of the surgery and the nature of the procedure involved.
The qualifications of the surgeon and the quality of post-operative care.
Transparent terms and conditions that clearly outline clinical liabilities in a fair, legally sound format.

Epispadias surgery costs in Turkey can vary significantly depending on these elements. While cost may be a major factor in your decision to travel abroad, don’t let it be the only consideration. Choosing a clinic based solely on price—without verifying that it meets these essential standards—could result in serious complications and unnecessary costs down the road. As Prospero Medical, we take pride in offering a transparent pricing policy where every service component is clearly outlined, ensuring you make an informed decision. Our goal is to provide fair and competitive pricing that aligns with the quality of medical expertise, experienced surgeons, and exceptional aftercare you’ll receive at our clinics in Turkey. We are committed to delivering high-quality, professional medical services that are aligned with the most realistic price for your needs.

Why Choose Prospero Medical for Epispadias Surgery?

Prospero Medical partners with top urology specialists in Turkey who use state-of-the-art equipment and advanced surgical techniques. By focusing on patient care, we ensure a comfortable and smooth experience throughout your surgery and recovery process. We work closely with you to ensure you receive the highest standard of care, from pre-surgery consultations to post-operative recovery. For more information on the surgery in Turkey, contact us for a free quote or consultation at: