Epispadias by Dr.K.AmrithaAnilkumar

EPISPADIAS
Here the urethra opens on the dorsum of the penis, proximal to the glans.
COMMON SITES
abdominopenile junction.
It is associated with a dorsal chordee, ectopia vesicae, urinary incontinence, separated pubic bones.
It is uncommon in females.

1. e n love da Homoeopathy EPISPADIAS

2. EPISPADIAS

3. EPISPADIAS Here the urethra opens on the dorsum of the penis, proximal to the glans. COMMON SITES abdominopenile junction. It is associated with a dorsal chordee , ectopia vesicae , urinary incontinence, separated pubic bones. It is uncommon in females. TREATMENT Correction of incontinence of urethra. Urinary diversion

4. ORGANISMS Staphylococcus—most common. Streptococcus Gram-negative organisms. CLINICAL FEATURES Pain Tenderness, S welling in the terminal phalanx. Fever . Tender axillary lymph nodes. Often suppuration is severe, ↓ forming collar stud abscess ↓ which eventually may burst. INVESTIGATION X-ray of the part is required often to rule out osteomyelitis of terminal phalanx. Pus for culture and sensitivity.

5. TREATMENT Antibiotics and analgesics. Drainage of terminal pulp space by an oblique deep incision. If there is osteomyelitis of the terminal phalanx, it has to be amputated. COMPLICATION Osteomyelitis of the terminal phalanx. Pyogenic arthritis of distal interphalangeal joint and tenosynovitis of flexor sheath. Septicaemia—in immunosuppressed individuals

6. REFERENCE SRB's Manual of Surgery by Sriram Bhat M 2. A Manual on Clinical Surgery by Das 3. A C oncise textbook of Surgery by Das

7. A Special Thanks To A Very Special Doctor