SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : EPISPADIA. THE ABSENCE OF THE UPPER WALL OF THE URETHRA EPISPADIA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Malformation in which there is underdevelopment of the upper wall of the urethra and its wrong location on the back side of the penis. The degree of underdevelopment of the urethra may be different. There are epispadia the head of the penis and full epispadia, in which the urethra is split along its entire length. Often, along with hypoplasia of the urethra, at the same time there is a lack of anterior gallbladder wall.
Epispadia head, except , wrong character stream does not cause ill no ill effects. If epispadia penis urination is normal, but due to irrigation of urine surrounding the urethra skin last materials and ulcerated. The most unpleasant forms of epispadia, where there is also hypoplasia or complete cleavage of the sphincter. In these cases, patients suffer from incontinence. The skin of the scrotum and thighs inflamed, maseribane sick emit unpleasant ammonia smell.
Recognition on the basis of data inspection. If epispadia head last split, the outer opening of the urethra has the appearance of deep joloba. At full epispadia all the urethra, located on the rear of the penis split. The outer hole is near the edge of the symphysis. The penis is usually underdeveloped and drawn up. Split foreskin hangs down in the form of an apron.
Epispadia head does not require treatment. In other forms of surgery.