Isolated Female Epispadias with Urinary Incontinence.

Isolated female epispadias without bladder extrophy is a rare variant of female urethral anomaly reported rarely in the literature. For optimal and early management, early clinical diagnosis is important. Female with isolated epispadias usually presents with primary urinary incontinence with abnormal looking external genitalia on examination. We present a case of a 23-year female with urinary incontinence with bifid clitoris and widely separated labia minora on genital examination. Reconstructive surgery of urethra, labia minora and bifid clitoris was performed in one stage. The goals of management in this case were to achieve urinary continence with reasonable time between voids and cosmetically acceptable female genitalia. Key Words:  Epispadias, Bifid clitoris, Urinary incontinence.