]> 2026-07-31T14:08:21+00:00 WBR0316 0 en Hydrocele of the testis Cryptorchidism Bifid scrotum Hypospadias Epispadias Epispadias in males results from the the faulty positioning of the genital tubercle that leads to an abnormally located dorsal (superior) urethra during development. Due to the involvement of the urinary sphincter, patients typically present with urinary incontinence, which may include involuntary urine loss and continuous urine dripping through the meatus. Epispadias is associated with bladder and cloaca exstrophy; the combination of both diseases is referred to as the exstrophy-epispadias complex. Other genitourinary and abdominal anomalies may also be associated with the exstrophy-epispadias complex. Diagnosis is usually made clinically at birth; but prenatal ultrasound may demonstrate a repeatedly empty bladder and may help in the early diagnosis. Management includes surgical genital reconstruction, but additional surgeries may be necessary in the presence of associated diseases.<br/> '''Educational Objective:''' Epispadias in males results from the the faulty positioning of the genital tubercle that leads to an abnormally located dorsal urethra during development. Due to the involvement of the urinary sphincter, patients typically present with urinary incontinence, which may include involuntary urine loss and continuous urine dripping through the meatus. Epispadias is associated with bladder and cloaca exstrophy.<br/> '''References:''' Ebert AK, Reutter H, Ludwig M, et al. The exstrophy-epispadias complex. Orph J Rare Dis. 2009;4:23.<br> First Aid 2014 page 562 Embryology Following delivery, a 28-year-old woman states that her newborn boy is continuously dripping urine. On physical examination, the pediatrician notes the newborn has an abnormal opening of the penile urethra on the dorsal side of his penis. When asked, the physician explains that the condition is caused by the faulty positioning of the genital tubercle during development and states that the patient will require surgical management. Which of the following conditions is this patient's most likely diagnosis? E Reproductive 2020-10-28T00:10:17Z 2459150.5071412 WBR0316