Epispadias

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Epispadias (pronounced: eh-pi-SPAY-dee-us) is a rare type of malformation of the penis in males or the urethra in females that is present at birth. The condition is characterized by an abnormally placed urethral opening – in males, the opening can be anywhere along the upper aspect of the penis, and in females, the urethral opening is towards the clitoris or even belly area.

Etymology

The term "Epispadias" is derived from the Greek words "epi" meaning "upon" and "spadon" meaning "rent or tear".

Symptoms

Symptoms of Epispadias can vary greatly depending on the severity of the condition. They may include:

  • Abnormal placement of the urethral opening
  • Bifid or split penis (in males)
  • Wide pubic bone
  • Urinary incontinence
  • Infertility

Causes

Epispadias is caused by an abnormality in the development of the genital tubercle during the first trimester of pregnancy. The exact cause of this abnormal development is not known, but it is believed to be due to a combination of genetic and environmental factors.

Treatment

Treatment for Epispadias typically involves surgery to correct the position of the urethral opening and, in some cases, to repair the bifid penis or wide pubic bone. The goal of treatment is to improve function and achieve a more normal appearance.

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