Which are the symptoms?
- Abdominal wall mass in the suprapubic region below a low insertion of the umbilical cord.
- Non-visible bladder with normal volume of amniotic fluid.
- Widely separated pubic bones, short and broad penis in males, hemiclitoris on either side of the bladder in females.
How is it diagnosed?
- Detailed ultrasound examination.
- Invasive testing to determine the genetic sex of the fetus.
- Follow-up should be standard.
How is it treated?
Survival rate is >95%. Surgery aims to achieve bladder closure and urinary continence, and epispadias repair.