Concealed Epispadias: Report of Two Cases and Review of Literature

Abstract

To present an overview of the clinical presentation and pathological anatomy of epispadias with intact prepuce--a rare condition that has only occasionally been reported in literature. We present two cases of concealed epispadias. We also review the available literature with regard to this rare condition. We found 14 cases in 7 studies that were reviewed. Relevant variables were reviewed and are discussed. There were 13 of 16 cases presented with complaints of buried or webbed penis. In 11 of 16 cases, epispadias was suspected or diagnosed at first presentation and could be surgically corrected in the first intervention. Epispadias repair was successful with regard to cosmesis and erectile function in all cases, including ours. Proper preoperative diagnosis and preoperative counseling of parents are essential for the successful treatment of this rare entity. Fewer complications, less additional interventions, and better continence rates seem to be noted for the boys with epispadias and intact prepuce.