What is Epispadias?

Epispadias
a, b) boy and girl with epispadias; c, d) boy and girl with classic exstrophy of the bladder; e) boy with exstrophy of the cloaca(Ebert et al. 2009).Genetics of Bladder-Exstrophy-Epispadias Complex (BEEC): Systematic Elucidation of Mendelian and Multifactorial Phenotypes. Reutter H, Keppler-Noreuil K, E Keegan C, Thiele H, Yamada G, Ludwig M - Current genomics (2016). Not Altered. CC.

Epispadias is a birth defect with a consequential urethral opening at the dorsal surface of the penis.

What is the Pathology of Epispadias?

The pathology of epispadias is:

-Etiology: The cause of epispadias is unknown.

-Genes involved: Unknown.

-Pathogenesis: The sequence of events that lead to epispadias still is unknown.

-Morphology: The morphology associated with epispadias shows glandular, penile, and penopubic forms depending on the position of the meatus.

How does Epispadias Present? 

Patients with epispadias are typically young males. The symptoms, features, and clinical findings associated with epispadias include urinary incontinence, and abnormal position of urethral opening on examination.

How is Epispadias Diagnosed? 

Epispadias is diagnosed through physical examination.

How is Epispadias Treated? 

Epispadias is treated by surgical intervention.

What is the Prognosis of Epispadias?

The prognosis of epispadias is good with surgical intervention, although nocturnal incontinence may persist.