Concealed epispadias: a rare anomaly - case report and review




Epispadias, Concealed, Intact prepuce, Cantwell-Ransley operation


Epispadias with an intact prepuce (Concealed Epispadias) is an uncommon anomaly. The specific clinical signs in this situation are broad, spade-like glans with a dorsally directed preputial opening, gap between the corpora cavernosa may be palpable, dorsal chordee and abnormalities of the penile raphae. We report the case of a 3 year old male child with Concealed Epispadias who underwent a modified Cantwell-Ransley operation with good outcome. The relevant anatomy, embryology and surgical options are reviewed.


Stephens FD, Hutson JM. Differences in embryogenesis of epispadias, extrophy-epispadias complex and hypospadias. J Pediatr Urol. 2005;1(4): 283–8.

Cold CJ and Taylor JR The prepuce. BJU Int. 1999;83:34–44.

Perovic SV. Epispadias. Perovic SV, Basting RF (eds.). In: Atlas of congenital anomalies of the external genitalia. 1st ed. Refot-Arka, Belgrad; 1999: 93–98.

Levin TL, Han B, Little BP. Congenital anomalies of the male urethra. Pediatr Radiol. 2007;37(9):851–62.

Sarin YK, Sinha A. Concealed epispadias. Indian J Urol. 2001;17(2):183–4.

Krishna A, Iyer PU. Epispadias with complete non-retractile prepuce. Indian Pediatr. 1989;26(10):1055–6.

Bhattacharya V, Sinha JK, Tripathi FM. A rare case of epispadias with normal prepuce. Plast Reconstr Surg. 1982;70(3):372–4.

McCahill PD, Leonard MP, Jeffs RD. Epispadias with phimosis, an unusual variant of the concealed penis. Urology. 1995;45(1):158–60.

Merlob P, Mor N, Reisner SH. Epispadias with complete prepuce and phimosis in a neonate. Clin Pediatr. 1987;26(1):43-5.






Case Reports