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Epispadias is a rare congenital (present at birth) abnormality that involves the opening of the urethra (the tube from which urine exit the bladder). In boys with epispadias, the urethra opens in top of the penis rather than the tip. The space between this opening and tip of the penis appears like an open book (gutter). In girls with epispadias, the urethral opening is towards the clitoris or even belly area. This results in the external genitalia and urethra not forming or functioning well.…more

Every hour of every day, a baby is born and can easily be identified as a boy or girl. But how distressing it must be when suddenly the birth attendants are unable to say whether the baby is a boy or a girl? This rare situation is usually unanticipated, and can be a difficult experience for all concerned. What causes this condition? What can be done? The following information has been developed to answer questions about ambiguous genitalia.…more

Sometimes factors can occasionally interfere with bladder development, as is the case for children with cloacal exstrophy. This is the most severe birth defect in the exstrophy-epispadias complex. A child with this condition will have the bladder and a portion of the intestines, exposed outside the abdomen, with the bony pelvis open like a book.…more

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