Epispadias in boys with an intact prepuce.
E M E Bos1, C F Kuijper1, R J Chrzan1
1Department of Pediatric Urology, University Children's Hospitals UMC Utrecht and AMC Amsterdam, The Netherlands.
Journal of Pediatric Urology
|July 19, 2013
Summary
Epispadias with an intact prepuce is rare, often presenting as a concealed penis. Early diagnosis and surgical correction improve outcomes, with better continence prognosis than classical epispadias.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Surgical Reconstruction
Background:
- Epispadias with intact prepuce is a rare congenital condition.
- It is infrequently reported in medical literature.
- Clinical presentation and pathological anatomy require careful consideration.
Purpose of the Study:
- To provide an overview of the clinical presentation and pathological anatomy of epispadias with intact prepuce.
- To report the surgical correction outcomes in seven cases.
- To highlight the importance of considering epispadias in concealed penis diagnoses.
Main Methods:
- Retrospective database search (1991-2011).
- Identification of seven cases of epispadias with intact prepuce.
- Analysis of clinical presentation and surgical outcomes.
Main Results:
- Five cases presented as webbed/buried penis, one with phimosis, one with suspected anomaly.
- Epispadias was diagnosed preoperatively in 3 cases, requiring additional surgery in 4 cases.
- Successful surgical repair achieved good cosmetic and erectile function; five patients achieved normal continence.
Conclusions:
- Consider epispadias in the differential diagnosis of concealed penis.
- Early diagnosis and repair can reduce the need for multiple interventions.
- Epispadias with intact prepuce may offer a better prognosis for urinary continence.
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