Epispadias
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| Epispadias Classification and external resources | |
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| ICD-10 | Q64.0 |
| ICD-9 | 752.62 |
| DiseasesDB | 33378 |
| MeSH | D004842 |
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Ongoing Trials on Epispadias at Clinical Trials.gov Clinical Trials on Epispadias at Google
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US National Guidelines Clearinghouse on Epispadias
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An epispadias is a rare type of malformation of the penis in which the urethra ends in an opening on the upper aspect (the dorsum) of the penis. An epispadias is an uncommon and partial form of a spectrum of failures of abdominal and pelvic fusion in the first months of embryogenesis. Most cases involve more severe defects, including a small and bifid phallus with bladder exstrophy or even cloacal exstrophy involving the entire perineum.
Despite the similarity of name, an epispadias is not a type of hypospadias, and involves a problem with a different set of embryologic processes. The cause of this defect of early embryogenesis is unknown but does not involve androgens.
Women can also have this type of congenital malformation. Epispadias of the female may occur when the urethra develops too far anteriorly, exiting in the clitoris or even more forward. For females, this may not cause difficulty in urination but may cause problems with sexual satisfaction. Frequently, the clitoris is bifurcated at the site of urethral exit, and therefore clitoral sensation is less intense during sexual intercourse due to frequent stimulation during urination. However, with proper stimulation, using either manual or positional techniques, clitoral orgasm is definitely possible and quite pleasurable.
One of the most famous people afflicted with this condition is Wellington guitarist Ryan Salter. He elected to have penile amputation instead of repair.
Congenital malformations and deformations of genital organs and urinary system (Q50-Q64, 752-753) | |
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| Genital organs (overview) | female: Uterine malformation - Mullerian agenesis - Uterine didelphys - Clitoromegaly
male: Cryptorchidism - Hypospadias - Chordee - Monorchism - Micropenis - Penile agenesis Pseudohermaphroditism |
| Urinary system | kidney/ureter: Renal agenesis/Potter syndrome, Papillorenal syndrome - cystic (Polycystic kidney disease, Meckel syndrome, Multicystic dysplastic kidney) - Ectopic ureter - Horseshoe kidney - Renal ectopia
bladder/urethra: Epispadias - Bladder exstrophy urachus: Urachal cyst |
| See also non-congenital reproductive and urinary conditions (N, 580-629) | |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
