A Rare Case of Epispadias with Normal Prepuce

Sinha, J.K.; Tripathi, F.M.

doi:10.1097/00006534-198209000-00016

Cited by 11 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Isolated epispadias can be differentiated into glandular, coronal, shaft, or penopubic types. In cases of isolated epispadias, the prepuce is usually absent on the dorsal side of the penis and hangs as a tag of redundant tissue on the ventral side, leaving the glans uncovered . It is uncommon for epispadias to present with an intact prepuce.…”

Section: Discussionmentioning

confidence: 99%

Split Median Raphe: Case Series and Brief Literature Review

Valerio

Cutrone

2014

Pediatric Dermatology

View full text Add to dashboard Cite

We describe three cases of split median raphe of the penis (SMR) from our hospital newborn records from 2004 to 2013. One case was associated with median raphe cyst, one with skin hypochromia, and one with a scar-like aspect of the region of interest. SMR is thought to be the result of defective fusion of ectodermal tissue in the urethra and scrotum area or of defective growth of the perineal mesoderm around the urethra during gestation. Although SMR associated with other major penile congenital defects (epispadias, hypospadias, penile torsion, bifid scrotum, chordee) is common, isolated SMR is probably an underdiagnosed (although not rare) malformative condition. Recognizing SMR in a newborn may be of educational value to neonatologists because it leads to the search for and exclusion of the above-mentioned pathologic conditions.

show abstract

Section: Discussionmentioning

confidence: 99%

Split Median Raphe: Case Series and Brief Literature Review

Valerio

Cutrone

2014

Pediatric Dermatology

View full text Add to dashboard Cite

show abstract

“…The aim of surgery is to reconstruct the epispadiac urethra and glans along with correction of dorsal chordee. 7 The severity of the epispadias determines the technique used for reconstruction. In coronal, shaft or penopubic epispadias, the urethra is positioned between the corpora cavernosa using the Cantwell-Ransley technique.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Both corporal bodies are dissected free from the pubic bone to the glans. [7][8][9] The urethral plate is tubularized over a 12 Fr catheter. The corpora are brought together over the urethra, placing the urethra in a ventral position, and are joined dorsally.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The result is assessed based on the cosmesis of reconstruction of the penis, maintenance of erectile function and achievement of urinary continence. [7][8][9] Penile lengthening is done where fixation of the corpora to the anterior side of the pubic bones is insufficient. The procedure consists of stretching the penis and fixation of the corpora cavernosa to the anterior side of the pubic bones on either side of symphysis with non-absorbable sutures.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The specific clinical signs in this situation are broad, spade-like glans with a dorsally directed preputial opening, gap between the corpora cavernosa may be palpable, dorsal chordee and abnormalities of the penile raphae. [5][6][7] Variants of hypospadias with complete prepuce are also seen and about 1% of hypospadias present as megameatus/ coronal meatus with intact prepuce.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Concealed epispadias: a rare anomaly - case report and review

Sarma¹

2019

Int Surg J

View full text Add to dashboard Cite

Epispadias with an intact prepuce (Concealed Epispadias) is an uncommon anomaly. The specific clinical signs in this situation are broad, spade-like glans with a dorsally directed preputial opening, gap between the corpora cavernosa may be palpable, dorsal chordee and abnormalities of the penile raphae. We report the case of a 3 year old male child with Concealed Epispadias who underwent a modified Cantwell-Ransley operation with good outcome. The relevant anatomy, embryology and surgical options are reviewed.

show abstract