Epispadias in the Girl vs. Epispadias in the Boy

Left picture: In this female newborn an epispadias is present extending to the bladder neck. Notice the external genitals which are moistened by urine, and a pit-like depression in the center and in front of the hymenal ring, as well as the labia minora and clitoris halves which do not merge in the midline in front of the depression. Right picture: This kindergarten boy has in fact an epispadias of the penis, which is pulled by the examiner to the top and front. The urethral groove which lies at the upper side of the penis involves two thirds of the penis shaft; the seeming labioscortal folds are in fact both scrotal halves which are pushed to the side in their posterior part.

Left picture: Newborn with an annular structure with a central dell. Both longitudinal structures on the right and left side which lead from the front to the back and which have a different dimension and superficial lining, remind of female external genitals. Right picture: Patient of kindergarten age who exhibits labioscrotal folds and a structure which shows in the center a longitudinal and right-left symmetrical groove, and which is covered by a mucous membrane.