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Epispadias Causes and Risks:
Epispadias occurs in one of three forms. The urethra may open on top of the head of the penis , the entire urethra may be open the full length of the penis, or the entire urethra may be open with the bladder opening on the abdominal wall. A similar condition can exist in females, but this is rare.
Prevention:
There is no known prevention.
Symptoms:
- any opening on the top of the penis from which urine drains
- an opening along the entire length on the top of the penis
Signs and Tests:
Radiologic ( IVP ) and ultrasound evaluation of the urogenital system (kidneys, ureters, bladder, urethra, and genitalia) is usually necessary to evaluate the extent of the defect.
Treatment:
Surgical repair of epispadias is recommended. Leakage of urine ( incontinence ) may require a second-stage repair.
Prognosis:
Surgical repair generally results in both continence (the ability to control the flow of urine) and a good cosmetic outcome.
Complications:
Persistent urinary incontinence can occur in some people even after surgery.
Call Your Healthcare Provider:
Call your health care provider if you notice any abnormalities of your child's genitalia.
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