An American text-book of genito-urinary diseases, syphilis and diseases of the skin . for a few times. Epispadias.—In the deformity known as epispadias (Fig. 26) the roofof the urethra is lacking, the corpora cavernosa not being in contact with eachother above, and the canal is only represented by a shallow groove on the dor-sum of the penis, and even this indication of it may be absent. The union ofthe corpora cavernosa below the urethra is, however, more apparent than real,for the floor of the urethra can be forced downward into close contact withthe skin on the under side of the penis, disp
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . for a few times. Epispadias.—In the deformity known as epispadias (Fig. 26) the roofof the urethra is lacking, the corpora cavernosa not being in contact with eachother above, and the canal is only represented by a shallow groove on the dor-sum of the penis, and even this indication of it may be absent. The union ofthe corpora cavernosa below the urethra is, however, more apparent than real,for the floor of the urethra can be forced downward into close contact withthe skin on the under side of the penis, displacing the corpora to either deformity is much rarer than hypospadias, and, like it, is found in threegrades—the glandular, the penile, and the complete form in which the pubicarch remains open, the cleft runs back into the neck of the bladder, and thebladder itself may be extroverted. The first form is exceedingly rare, onlythree such cases being known. The penile form is also seldom seen, theroof of the urethra being generally defective throughout if absent at Fig. 25.—The methodof closing the abnormalmeatus after the opera-tion for epispadias. MALFORMATIONS AND DEFORMITIES. 55 Sometimes, however, the glandular part of the urethra is well formed andpervious, but the penile portion of the roof is wanting; or a well-formedpenis may even coexist with exstrophy of the bladder, only a slight notchbeing found in the posterior end of the roof of the urethra close to the neckof the bladder. When the glandular portion is involved in the deformity,the foreskin is also divided above and hangs like an apron from the frenumunder the glans. The etiology of this curious deformity has already beendiscussed together with that of hypospadias. The commonest form of hypo-
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
