CONCEALED EPISPADIAS - AN INTERESTING CASE REPORT

An interesting case of Epispadias - 15 yr old boy presented with inability to void urine in standing position and splaying of urine. On Examination - Normal looking penis with complete prepuce. On retracting the prepuce Epispadias was revealed. After investigation patient underwent Epispadias repair with penile disassembly technique. Post-op - uneventful. The diagnosis of this condition is often missed in the neonatal period, thus patients tend to present late. A high index of suspicion is required to make the diagnosis, it should be suspected in any child presenting with incontinence, short penis, ballooned prepuce on voiding and absence of penile raphe or frenulum.