Impact of pelvic floor anatomical variations on urinary continence outcome in boys with epispadias.

ABSTRACT: This study investigated pelvic floor anatomical variations impacting urinary continence in boys with epispadias. Preoperative pelvic floor MRI assessed 12 anatomical parameters in 16 boys. Long-term urinary continence outcomes categorized patients into continent (n = 12, median age 57.0 months) and incontinent (n = 4, median age 50.0 months) groups, with no significant age difference. The pubic diastasis was significantly wider in incontinent group (19.03 ± 11.14 mm vs. 5.04 ± 3.22 mm; p = 0.001); posterior anal distance (19.75 ± 1.94 mm vs. 14.64 ± 4.57 mm; p = 0.051) and posterior bladder neck distance (33.35 ± 2.58 mm vs. 29.13 ± 4.23 mm; p = 0.084) showed trends to increase. Binary logistic regression identified pubic diastasis as an independent risk factor for urinary incontinence (OR

SUBMITTER: Peng Z 

PROVIDER: S-EPMC12475456 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature