Epispadias

EPISPADIAS


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

Exam Important

  • 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

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

Module Below Start Quiz

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