Female epispadias.

Female epispadias without exstrophy is a rare malformation occurring in 1 in 117,000 male and 480,000 female population. It is imperative that a thorough local examination be performed ideally at birth so the diagnosis and the later psychosocial and psychosexual problems could be prevented. Although, on occasions when the apparent malformation is not that predominant, epispadias can be missed at birth and is diagnosed when the child (usually female) remains wet after toilet training. Reconstructive surgery of the urethra and bladder neck improves the outcome in case of early intervention.