What is Epispadias?
Epispadias is the condition where the urinary canal remains open in the upper part of the penis, the upper wall of the urinary canal is not formed.Epispadias is often associated with a condition called bladder extrophysis.Bladder extrophilia is the opening of the bladder wall to the anterior abdominal wall.This is called extrofi and epispadias complex. Epispadias is rarely seen alone.
In cases where epispadias is seen as mild or the urine hole is close to the penis, there is usually no complaint except for cosmetic appearance.The person can urinate and rarely see urinary incontinence.As the opening point of the urethra become close to the penis root, the severity of epispadias increases.Urinary incontinence is common in these.In some cases, the urinary canal is open throughout the groove and pubis bones are divided into two.
What is Epispadias Frequency?
Epispadias which is seen alone is a rare condition. This ratio is 1 / 120.000 in men and 1 / 450.000 in women. It is approximately 5 times more common in males.
When should Epispadias surgery be performed?
Epispadias surgery should be performed in patients with mild epispadias who have no urinary retention problem at 6-18 months of age and should be performed at 3-4 years of age in patients with complete epispadias.
The purpose of Epispadias surgery; in the boys, the urinary canal is moved to the end of the penis and in the girls behind the clitoris and between the vagina inner lips. The other purposes of the surgery are the cosmetic correction of the penis in a cosmetically acceptable manner in boys and to bring the clitoris into a single piece and to correct the lips in a way that does not force sexual intercourse in girls, to correct the urinary retention mechanism and to protect the kidneys.