Epispadias Epispadias is the condition in which the external opening of the urethra is located in an unusual dorsal location. Epispadias is found in more males than females by an approximate three to one ratio. In less severe cases, the orifice appears along the dorsum of the glans. In more severe cases, the orifice may appear on the dorsum of the shaft of the penis, or even in the penopubic region. The latter form is often associated with exstrophy of the bladder.
Penopubic epispadias is a relatively rare anomaly.
The external orifice may be large enough to allow an examining finger into the opening. Incontinence is common in this type of epispadias where glandular epispadias usually does not cause incontinence. Epispadias in females manifests as a fissure of the upper wall of the urethra. A bifid clitoris, leveled mons pubis, and disconnection of the labia are possible associated deformities. There are three types of epispadias in females that vary in degree of deformity.