Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 26, No. 1, 43-45 (1987)
DOI: 10.1177/000992288702600108

Epispadias with Complete Prepuce and Phimosis in a Neonate

Paul Merlob, MD

Neonatal Department, Beilinson Medical Center, Petah Tiqva, Tel Aviv University Sackler School of Medicine, Israel

Naomi Mor, MD

Neonatal Department, Beilinson Medical Center, Petah Tiqva, Tel Aviv University Sackler School of Medicine, Israel

Salomon H. Reisner, MB, ChB

Neonatal Department, Beilinson Medical Center, Petah Tiqva, Tel Aviv University Sackler School of Medicine, Israel

A rare type of epispadias in a neonate is described in which a complete phimotic prepuce was present. In this situation, the accurate diagnosis is very difficult and may be easily overlooked in the neonatal period. The broad, spadelike glans, the dorsally directed prepucial opening, and the urinary stream are signs previously described. The special shape of the raphe penis and the depression between the corpora cavernosa felt by palpation of the glans are useful new clinical signs to suspect this type of epispadias.


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