Classification in the male is defined by the position of the urethral meatus into glandular, penile or penopubic variants. All forms of epispadias are associated with chordee. The extent of chordee is variable. Incontinence can be seen with the penopubic variants. In the female the characteristic finding is one of a bifid clitoris, flattening of the mons and separation of the labia.
Associated defects are usually limited to the genital tract and diastasis of the pubic bones.
Repair is similar to that of the second stage of exstrophy repair. The Cantwell-Ransley technique is utilized. At times the extent of the defect may require a two stage procedure. Delayed continence in the male may be noted as the prostate grows. Fertility can also be preserved in most patients.