What is Epispadias?
Congenital disorder in which the urinary meatus is located on the upper side of the penile shaft; less common than hypospadias.
What is Hypospadias?
Congenital disorder in which the urinary meatus is located on the lower or underside of the shaft.
Table of Contents
Clinical manifestations
- Ventral or dorsal placement of the urethral opening.
- Altered urinary stream.
- Chordee.
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Diagnostic evaluation
- History Collection.
- Physical examination.
Therapeutic management
The goal of surgery is to make urinary and sexual function as usual as possible.
- Release of chordee.
- Repositioning of the meatus at the penile tip.
- Reconstruction of the penis.
- it usually is done between 6 and 12 months of age.
- No circumcision in these cases.
- Urinary diversion is used after surgery to allow healing (catheters).
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