Epispadias - Mahi Andrology Center

What it is

Epispadias is a rare congenital condition in which the urethral opening develops on the upper side of the penis instead of in its normal position. Early diagnosis and proper medical care are essential for optimal function and long-term health.

Abnormal urinary opening

Urinary incontinence

Sexual function issues

Congenital developmental abnormality

Diagnosis is done through physical examination and imaging studies.

Treatment primarily involves corrective surgery and long-term follow-up care.

FAQ

Q1. What is epispadias?

Epispadias is a rare congenital condition in which the urethral opening is located on the upper surface of the penis instead of the tip. It occurs during fetal development and may affect urination, sexual function, and appearance. The severity can vary from mild to complex forms.

Q2. What causes epispadias?

Epispadias occurs due to abnormal development of the urinary tract during early pregnancy. The exact cause is unknown, but genetic and developmental factors are believed to play a role. It is not caused by actions taken during pregnancy.

Q3. How common is epispadias?

Epispadias is a rare condition, occurring in approximately 1 in 100,000 male births. It is less common than hypospadias and may appear alone or as part of a more complex condition such as bladder exstrophy.

Q4. What are the symptoms of epispadias?

Symptoms include an abnormally placed urethral opening, abnormal urine flow, difficulty controlling urination, penile curvature, and cosmetic differences. In severe cases, it may also affect bladder control and sexual function.

Q5. How is epispadias diagnosed?

Epispadias is usually diagnosed at birth through physical examination. Additional tests such as ultrasound or imaging may be used to assess urinary tract structure, bladder function, and associated abnormalities.

Q6. Can epispadias affect urination?

Yes, epispadias can affect urine flow and bladder control. Some individuals may experience urine leakage or difficulty directing the urine stream. Early surgical correction helps improve urinary function and continence.

Q7. Does epispadias affect fertility?

Mild forms may not significantly affect fertility, but severe cases can impact ejaculation and sperm delivery. With proper surgical repair and medical care, many individuals can achieve normal sexual and reproductive function.

Q8. How is epispadias treated?

Treatment usually involves surgical correction to reposition the urethral opening, improve penile appearance, and restore urinary control. Surgery is often performed in early childhood, but outcomes are generally good when treated by specialists.

Q9. Is epispadias a lifelong condition?

Epispadias is present from birth, but with appropriate surgical treatment, most individuals lead normal lives. Long-term follow-up may be needed to monitor urinary, sexual, and psychological health.

Q10. When should epispadias be treated?

Epispadias is typically treated in infancy or early childhood to achieve the best functional and cosmetic results. Early treatment helps prevent urinary complications and supports normal physical and emotional development.

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Male Infertility

Erectile Dysfunction

Premature Ejaculation

Delayed Ejaculation

Low Libido / Sexual Desire Issues

Peyronie’s Disease (Penile Curvature)

Testicular & Scrotal Problems

Hormonal Disorders in Men

Infantile Penis

Epispadias

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Prescription Issuance

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Board-certified neurologists with decades of experience

Advanced neuroimaging (MRI, CT, EEG, EMG)

Individualized care plans and ongoing follow-up

Compassionate support for patients and caregivers

Multidisciplinary collaboration with other specialists

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Prescriptions and test orders are provided digitally or as printed copies after your consultation. For online consultations, these are sent via email or app.

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