[Complete separation of the cavernous bodies with penis deviation--an epispadias equivalent]

The presented case report describes the not-yet-published existence of an epispadia equivalent, which consists of the complete separation of both cavernous bodies associated with both an atypical location of the urethral orifice on the dorsal site of the glans and a considerable ventral deviation of the penis. This separation was simultaneously associated with a unilateral arterialization of the whole penis via the right internal pudendal artery. The patient complained about an inadequate sexual performance, which was due to a marked ventral penile curvature requiring surgical correction. The operative approach included not only a corporoplasty, but also a complicated fusion of the cavernous bodies, accomplished by a fenestration and subsequent anastomosis. The result was cosmetically and functionally optimal.