EPISPADIAS

• Urethra opens in the dorsum (upper aspect) of the penis in males.
• In females, there is fissure in the wall of the urethra which opens above clitoris (uncommon)
• MC site in abdominopenile junction

• Associated with-

a) Dorsal chordee

b) Ectopia vesicae

c) Urinary incontinence

d) Separated pubic bone

CLINICAL FEATURES-

• Males- glandular epispadias seldom have urinary incontinence
• Incontinence in penopubic (95%) and penile epispadias (75%)
• Females- bifid clitoris and separation of the labia
• Most are incontinent

TREATMENT-

• Surgery- correct incontinence, remove chordee and extend urethra to glans penis
• Urinary diversion

Don’t Forget to Solve all the previous Year Question asked on EPISPADIAS