What is epispadias repair?
Surgeries To Treat Male Epispadias The urethra (urine tube) is reconstructed, using a procedure called urethroplasty. This allows the urethral meatus (urine opening) to be moved into the correct location. This repair of the urethra also allows chordee, the curve in the penis, to be straightened.
What is the meaning of epispadias?
Epispadias is a rare birth defect located at the opening of the urethra. In this condition, the urethra does not develop into a full tube, and the urine exits the body from an abnormal location. The causes of epispadias are unknown. It may be related to improper development of the pubic bone.
What is the difference between hypospadias and epispadias?
The urethra is the tube that carries the urine from the bladder to an external opening. In boys, that tube goes to the tip of the penis and also carries semen. Hypospadias is a birth defect of the urethra where the tube stops short of the tip of the penis.
What does epispadias look like?
In boys with epispadias, the penis tends to be broad, short, and curved up (“dorsal chordee”). The pelvic bones are widely separated. Since the penis is attached to these bones, it results in a penis that’s pulled back toward the body. Normally, the opening of the urethra (the “meatus”) is at the tip of the penis.
What are the types of Epispadias?
What are the types of epispadias in males?
- Glanular epispadias: This is the most common type. The meatus is on top of the glans (head of the penis).
- Penile epispadias: The meatus is along the penis shaft.
- Penopubic epispadias: The meatus is near the pubic bone.
What is ectopia Vesicae?
Exstrophy of the bladder (ectopia vesicae) is a rare congenital anomaly with an incidence of about 1 per 50,000. It is defined as an incomplete fusion of the mesoderm, which forms the tubercle genitalia, anterior wall of the bladder and inferior portion of the anterior abdominal wall.
How is Epispadias diagnosed?
How is hypospadias diagnosed? Hypospadias can only rarely be seen on fetal ultrasound, so doctors typically diagnose it just after the baby is born, during his first physical examination.
How common is female hypospadias?
The occurrence of hypospadias in female patients is extremely rare. We present a young female complaining of recurrent urinary tract infection and voiding difficulty caused by hypospadias.
Does hypospadias require circumcision?
Boys who are born with hypospadias should not be circumcised at birth. The extra tissue of the foreskin may be needed to repair the hypospadias during surgery. Before surgery, your child will receive general anesthesia.
What are the signs and symptoms of Epispadias?
- Abnormal opening from the bladder neck to the area above the normal urethra opening.
- Backward flow of urine into the kidney (reflux nephropathy, hydronephrosis)
- Urinary incontinence.
- Urinary tract infections.
- Widened pubic bone.
What meatus means?
Medical Definition of meatus : a natural body passage : canal, duct.
Can you be born without a bladder?
Surgeons will close the penis and bladder (top right) and then close the abdomen and skin (bottom right). Bladder exstrophy (EK-stroh-fee) is a rare birth defect in which the bladder develops outside the fetus. The exposed bladder can’t store urine or function normally, resulting in urine leakage (incontinence).
What kind of surgery is needed for epispadias?
There are different surgery options available for boys and girls. The main goals of epispadias treatment for boys are to: If the bladder and bladder neck are affected, surgery will be needed to make sure the child can control his urine. Surgery might also be needed to preserve fertility. There are two popular types of surgery.
What is the medical dictionary definition of epispadias?
Epispadias. From Dorland’s, 2000. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved. A malformation in which the urethra opens on the dorsum of the penis; frequently associated with exstrophy of the bladder.
Which is the best treatment for hypospadias and Epispadias?
Surgery is the treatment of choice for both hypospadias and epispadias. All surgical repairs should be undertaken early and completed without delay. This minimizes psychological trauma. In males with hypospadias, one surgery usually is sufficient to repair the defect.
What is the treatment for epispadias in boys?
The main goals of epispadias treatment for boys are to: If the bladder and bladder neck are affected, surgery will be needed to make sure the child can control his urine. Surgery might also be needed to preserve fertility. There are two popular types of surgery. Both provide a normal-looking penis that works properly.