Epispadias Treatment in Delhi
Specialised reconstructive treatment for epispadias, abnormal urethral opening, penile curvature, urinary incontinence and complications after previous repair. Dr. Gautam Banga provides personalised evaluation and reconstructive planning based on urethral anatomy, bladder function and the severity of the condition.
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Overview
What Is Epispadias?
Epispadias is a rare congenital condition in which the urethra does not form normally. In males, the urethral opening is located on the upper (dorsal) surface of the penis rather than at the tip. The urethral plate may remain partially open, and the penis may appear shorter or have upward curvature.
Epispadias may occur alone, but it is more commonly associated with the bladder exstrophy–epispadias complex. The severity varies depending on how far the abnormal urethral opening extends toward the bladder neck.
Important: More severe forms of epispadias can involve the urinary continence mechanism and bladder neck. Proper reconstructive evaluation is therefore important not only for penile appearance but also for urination, continence and long-term sexual function.
Condition
What Are the Main Features of Epispadias?
Abnormal Urethral Opening
In epispadias, the urethral opening is located on the upper surface of the penis instead of at the tip.
Open Urethral Plate
The urethra may remain partially open along the upper side of the penis because it does not form into a complete tube normally.
Penile Curvature
Epispadias may be associated with upward curvature of the penis due to abnormal penile development.
Short or Broad Penis
Some patients may have a shorter or broader-appearing penis because of abnormal separation of the penile tissues.
Urinary Incontinence
In more severe cases, epispadias may affect the bladder neck and urinary control, leading to leakage of urine.
Bladder Exstrophy Association
Epispadias may occur alone or as part of the bladder exstrophy–epispadias complex.
Symptoms
Signs & Symptoms of Epispadias
- Urethral opening on the upper surface of the penis
- Abnormal foreskin development
- Abnormally open or exposed urethral plate
- Difficulty directing the urinary stream
- Short or broad-appearing penis
- Urinary leakage or incontinence
- Upward penile curvature
- Previous failed epispadias repair
Diagnosis
How We Diagnose Epispadias
Epispadias is primarily diagnosed through careful physical examination. Additional testing may be recommended to evaluate the bladder, kidneys, urinary continence mechanism and associated abnormalities before reconstructive surgery.
- Physical Examination – evaluates urethral opening, penile anatomy, foreskin and curvature.
- Epispadias Classification – determines whether the condition is glanular, penile or penopubic.
- Continence Assessment – evaluates urinary leakage and possible bladder-neck involvement.
- Ultrasound – may be used to evaluate the kidneys, bladder and upper urinary tract.
- VCUG – may help assess bladder function, urethral anatomy and vesicoureteral reflux.
- Urodynamic Testing – can evaluate bladder storage, pressure and continence when required.
- Cystoscopy – may be used to examine the urethra and bladder internally in selected cases.
- Pelvic Imaging – MRI or other imaging may be recommended when more detailed anatomical evaluation is needed.
Treatment
Epispadias Treatment Options at Urethra & Penile Surgery
Why Dr. Gautam Banga
Why Choose Dr. Gautam Banga for Epispadias Treatment?
Reconstructive Urology Focus
Detailed evaluation of complex urethral and penile abnormalities before planning reconstruction.
Surgical Planning
Every epispadias case has different anatomy, so treatment is planned according to urethral position, penile curvature, previous surgery and bladder function.
Redo Reconstruction
Specialised assessment for patients with persistent problems or complications following previous epispadias surgery.
Function & Appearance
Treatment planning considers urinary function, continence, penile straightness and long-term sexual function rather than focusing only on appearance.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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Frequently Asked Questions
Epispadias is a rare congenital condition in which the urethra does not form completely and, in males, opens on the upper surface of the penis instead of at its normal position at the tip.
No. In hypospadias, the urethral opening is located on the underside of the penis. In epispadias, the urethral opening is on the upper or dorsal surface.
Male epispadias is commonly classified as glanular, penile or penopubic, depending on the position of the abnormal urethral opening.
Yes. Urinary incontinence is particularly associated with more severe forms where the abnormality involves the bladder neck and continence mechanism.
It can. Males with epispadias may have dorsal or upward penile curvature, along with a shorter-appearing penis and abnormal urethral anatomy.
Diagnosis is primarily based on physical examination. Ultrasound, VCUG, urodynamics, cystoscopy or pelvic imaging may be required when associated urinary or anatomical abnormalities need assessment.
Clinically significant epispadias is generally managed surgically. The type and extent of reconstruction depend on the anatomy, continence status and associated abnormalities.
The major goals are to reconstruct the urethra, correct penile curvature, restore the glans and penile anatomy, improve urinary continence and preserve sexual function.
Yes, revision reconstruction may be possible. However, previous surgery can cause scarring and reduce tissue quality, making redo procedures more complex and requiring careful reconstructive planning.
Yes. Long-term follow-up may be needed to monitor urinary continence, bladder and kidney function, penile development and sexual function, particularly in patients with more complex epispadias or bladder-neck involvement.