Penopubic epispadias with intact prepuce presenting as phimosis in an infant: A case report

Isolated epispadia is uncommon anamoly, occurring in approximately 1 out of 120,000 male births. To date, only 22 cases of epispadia have been reported with an intact prepuce and 8 cases with a phimotic intact prepuce. This paper presents the case of a 6-month-old male infant, who had been circumcised at three weeks of age, and was subsequently diagnosed with penopubic epispadias during a standard medical examination. His condition was successfully corrected using the Modified Cantwell-Ransley technique, leading to a favorable post-operative recovery. This case underscores the importance of thorough evaluation during circumcision to avoid overlooking potential diagnoses. • Isolated male epispadias with an intact prepuce is an uncommon condition, occurring in roughly 1 in 120,000 live births. • The penis, appearing normal, can mask the diagnosis, resulting in delayed or missed identification. • Circumcision performed without a comprehensive genital examination could potentially hinder subsequent reconstructive procedures. • The Modified Cantwell-Ransley technique continues to be a dependable method for primary penopubic epispadias repair.