Adult Presentation of Isolated Male Epispadias: A Unique Case Study
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By
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Rifki Adhi Nofrian
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Joko Pitoyo
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Safendra Siregar
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Albert Ciam
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Muhammad Fadel Yudawa
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April 23, 2026
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Clinical Scorecard: Adult Presentation of Isolated Male Epispadias: A Unique Case Study
At a Glance
| Category | Detail |
|---|
| Condition | Isolated Male Epispadias |
| Key Mechanisms | Dorsal urethral displacement, associated chordee |
| Target Population | Adult males with isolated epispadias |
| Care Setting | Outpatient surgical setting |
Key Highlights
- Isolated male epispadias is a rare congenital anomaly, presenting in adulthood is exceedingly uncommon.
- Modified Cantwell-Ransley procedure effectively corrects epispadias and associated chordee.
- Postoperative outcomes include normal urinary function and high patient satisfaction with cosmetic and sexual results.
Guideline-Based Recommendations
Diagnosis
- Physical examination and imaging (e.g., pelvic X-ray, cystography) to assess urethral position and rule out complications.
Management
- Surgical correction using the Modified Cantwell-Ransley technique is recommended for adults.
Monitoring & Follow-up
- Follow-up assessments at three months post-surgery to evaluate urinary function and patient satisfaction.
Risks
- Potential for transient glans necrosis and vascular compromise during surgery.
Patient & Prescribing Data
Adult males presenting with untreated isolated epispadias.
Surgical correction can lead to significant improvements in urinary function and sexual health.
Clinical Best Practices
- Utilize the Modified Cantwell-Ransley technique to minimize risks associated with tissue ischemia.
- Address psychosocial aspects of care, particularly regarding sexual function and social integration.
References
