Epispadias with complete prepuce and phimosis in a neonate

Area of Science:

• Pediatric Urology
• Neonatal Surgery
• Clinical Diagnostics

Background:

• Epispadias is a congenital anomaly of the penis.
• A rare presentation involves a complete phimotic prepuce, complicating neonatal diagnosis.
• Accurate diagnosis in the neonatal period is crucial for timely intervention.

Observation:

• A neonate with epispadias presented with a complete phimotic prepuce.
• Previously described diagnostic signs include a broad, spadelike glans, dorsally directed prepuce, and altered urinary stream.
• This presentation highlights the diagnostic challenges in the neonatal period.

Findings:

• The presence of a complete phimotic prepuce can obscure typical epispadias indicators.
• New clinical signs for suspecting this rare epispadias type have been identified.
• These include the specific shape of the penile raphe and a palpable depression between the corpora cavernosa of the glans.

Implications:

• Early and accurate diagnosis of this rare epispadias variant is facilitated by recognizing these new clinical signs.
• Improved diagnostic accuracy can lead to better management and outcomes for affected neonates.
• This study contributes to the understanding of rare congenital penile anomalies and their clinical detection.