Epispadias

Overview of Epispadias

Epispadias is a bladder abnormality present at the time of birth. The opening of urine discharge is located at the wrong place. It is found more in males.

Signs and Symptoms of Epispadias

Epispadias is a congenital abnormality (present at birth) in which the urinary tube (urethra) develops at the wrong side. The skin that covers the lower abdominal part does not develop completely and the bladder is exposed on the child’s lower abdomen.
Epispadias is also known as bladder exstrophy, Exstrophy meaning ‘turning inside out’
As urethra does not develop properly, urine comes from an abnormal site of the bladder. In males epispadias, the urethral opening is either at the top or any side of penis other than the tip. In female epispadias, the opening of urethra is higher or it opens next to the bladder.

Occurrence

It is a very rare condition i.e. 1 in 30,000 births and found more in males as compared to females.

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Types of Epispadias

  • Abnormal urethral opening (from where urine comes)
  • Reflux nephropathy (back flow of urine towards the kidney)
  • Short, curved and widened penis
  • Urinary tract infections
  • Widened pubic bones
  • Urinary incontinence (unable to control urine)
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Risk Factors of Epispadias

The exact causes of epispadias are not known. It is believed that it may happen due to the incomplete development of pubic bones.

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Prevention

There is a high risk of infection after surgery. The wound may not properly heal and opens up again that will change the bladder position. In this case, another operation is needed. There is an increased risk of kidney damage that sometimes turns into hydronephrosis (swollen kidney).

What Complications Epispadias can produce?

A child having epispadias cannot control his urine even after surgery (rare case). A child may experience long-term kidney and urinary tract damage. Urinary tract infections are at increased risk to develop. There might be a chance of infertility in epispadias (unable to produce offspring).
Talk to a pediatrician to discuss benefits and complications of treatment before taking the risk of surgery.

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Diagnosis

There is no known way to prevent Epispadias.

Treatment of Epispadias | When to Consult a Doctor

It can be diagnosed before birth by prenatal ultrasound, during 11th gestation week. However, it becomes clear right after birth usually in males while later in females when they develop infections or urine control problems. Depending on the condition of Intravenous, pyelogram (x-ray of ureters, bladder and kidneys), CT scan and MRI is recommended.

Doctors to treat Epispadias

Last updated on Thursday 01/12/2022

Doctor

Dr. Zain ali sattar

Urologist |

Noor General Hospital (G-11 Markaz)Rs 1500

0

Today’s Slots

99%

Satisfaction Rate

0

Years

Highly Recommended

Doctor

Dr. Noman Ali Ghazanfar

Urologist | MBBS, FCPS, MCPS

Khairun Nisa HospitalRs 2000

Iqra Medical Complex (Extension)Rs 2000

2

Today’s Slots

96%

Satisfaction Rate

10

Years

Highly Recommended

Doctor

Dr. Shaheen Khan Bahadar Awan

Urologist | MBBS, MS

Ahmad Health CareRs 2000

Iqra Medical Complex (Extension)Rs 2000

0

Today’s Slots

99%

Satisfaction Rate

9

Years

It was a good visit. Did not wait much.

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