Main AHCA Website

AHCA’s main website for information on Medicaid, Health Quality Assurance and the Florida Center for Health Information and Policy Analysis.

Go >

Florida Health Information Network

This website provides information and resources relating to AHCA’s initiatives for Health Information Technology and Health Information Exchange.

Go >


FloridaHealthFinder.gov

Provides health education and information to compare and locate health care providers in Florida to make well-informed health care decisions.

Go >
AHCA Network of Websites

Health Education


Health Encyclopedia

Search the Health Encyclopedia

Epispadias

Definition

Epispadias is a rare defect that is present at birth (congenital). It is located at the opening of the urethra.

In this condition, the urethra does not develop into a full tube. The urine exits the body from the wrong place.

Causes

The causes of epispadias are not known. It may occur because the pubic bone does not develop properly.

Epispadias can occur with a rare birth defect called bladder exstrophy. In this birth defect, the bladder is inside out and sticks through the abdomen wall. Epispadias can also occur with other birth defects.

The condition occurs more often in boys than girls. It is most often diagnosed at birth or soon afterward.

Symptoms

Males will have a short, wide penis with an abnormal curve. The urethra most often opens on the top or side of the penis instead of the tip. However, the urethra may be open along the whole length of the penis.

Females have an abnormal clitorus and labia. The urethral opening is often between the clitoris and the labia, but it may be in the belly area. They may have trouble controlling urination (urinary incontinence).

Exams and Tests

Signs include:

  • Abnormal opening from the bladder neck to the area above the normal urethra opening
  • Backward flow of urine into the kidney (reflux nephropathy)
  • Urinary incontinence
  • Urinary tract infections
  • Widened pubic bone

Tests may include:

  • Blood test
  • Intravenous pyelogram (IVP), a special x-ray of the kidneys, bladder, and ureters
  • MRI and CT scans, depending on the condition
  • Pelvic x-ray
  • Ultrasound of the urinary system and genitals

Treatment

Patients who have more than a mild case of epispadias will need surgery.

Leakage of urine (incontinence) can often be repaired at the same time. However, a second surgery may be needed.

Outlook (Prognosis)

Surgery can help the person control the flow of urine. It will also fix the appearance of the genitals.

Possible Complications

Some people with this condition may continue to have urinary incontinence, even after surgery.

Ureter and kidney damage and infertility may occur.

When to Contact a Medical Professional

Call your health care provider if you have any questions about the appearance or function of your child's genitals or urinary tract.

References

Gearhart JP, Mathews RI. Exstrophy-epispadias complex. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 124.

Elder JS. Anomalies of the bladder. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 535.

Review Date:1/12/2014
Reviewed By:Scott Miller, MD, Urologist in private practice in Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

The Agency for Health Care Administration (Agency) and this website do not claim the information on, or referred to by, this site is error free. This site may include links to websites of other government agencies or private groups. Our Agency and this website do not control such sites and are not responsible for their content. Reference to or links to any other group, product, service, or information does not mean our Agency or this website approves of that group, product, service, or information.

Additionally, while health information provided through this website may be a valuable resource for the public, it is not designed to offer medical advice. Talk with your doctor about medical care questions you may have.

Health
Outcome Data

No data available for this condition/procedure.

Health Encyclopedia

More Features

We Appreciate Your Feedback
1. Did you find this information useful?
         Yes
         No

2. Would you recommend this website to family and friends?
         Yes
         No