Abstract

Epispadias is a rare genitourinary malformation, more so is epispadias with intact prepuce. Incidence of epispadias with intact prepuce is not known however, there are few case reports and a case series. We present a 5-year-old boy brought to our facility by his parent for circumcision. Further evaluation revealed a short penis with broad base and intact prepuce. The preputial slit was dorsally oriented. On retracting the prepuce, there was corona epispadias with wide and healthy urethral plate. No meatal stenosis or chordee noticed. Other findings were normal. He had epispadias repair. The postoperative period was uneventful. Three months after operation, the prepuce was easily retractable over the penis and the penis was cosmetically acceptable.

Highlights

  • Epispadias is abnormal congenital opening of the urethra on the dorsum of the penis

  • It is believed to be a milder form of extrophy-epispadias complex which includes cloacal extrophy, bladder extrophy and epispadias

  • There was no complaint by the parent about the appearance of the child’s external genitalia

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Summary

Introduction

Epispadias is abnormal congenital opening of the urethra on the dorsum of the penis. It is believed to be a milder form of extrophy-epispadias complex which includes cloacal extrophy, bladder extrophy and epispadias. It is a rare genitourinary malformation, more so is epispadias with intact prepuce. Incidence of isolated epispadias is put at 2.4 per 100,000 birth [1] and 70% are complete epispadias. Incidence of epispadias with intact prepuce is not known there are few case reports [2]-[5] and a case series [6]. (2016) Epispadias in a Child with Intact Prepuce: A Rare Congenital Abnormality. Waziri et al na epispadias, in a 5-year-old boy with intact prepuce

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