A rare congenital malformation (1 / 30,000 newborns), it is characterized by the presence of the urethral meatus not at the apex of the glans but on the dorsal aspect of the penis.
Epispadias vary widely, from a minimal distal defect to the complete form of epispadias with bladder exstrophy. In the male sex the penis is shortened with flattened glans and open dorsally with a similar appearance to a “focaccia”. Depending on the position of the urinary meatus we can classify epispadias in three anatomical forms:
- Balinese or glandular epispadias;
- Epispadia penis;
- Penopubic epispadias.