Epispadias

Definition of Epispadias

Epispadias is a rare congenital (present from birth) defect located at the opening of the urethra.

Causes, incidence, and risk factors

The causes of epispadias are unknown at this time. Itmay be related to improper development of the pubic bone.

Symptoms

In males:

Treatment

Surgical repair of epispadias is recommended in patients with more than a mild case. Leakage of urine (incontinence) is not uncommon and may require a second operation.

Expectations (prognosis)

Surgery generally leads to the ability to control the flow of urine and a good cosmetic outcome.

Review

Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 1/21/2010

ADAM Medical Encyclopedia

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