ABSTRACT
In epispadias the penile size is variable, but it is always much shorter than the average penile size. This shortness and severe dorsal curvature seriously affect the ability of the patient to perform penetrative sexual intercourse. Because of these reasons and the placement of the epispadic meatus this anomaly requires a meticulous and often a staged surgical repair. Usually epispadic patients do not suffer from erectile dysfunction if their blood supply to the corpora was not injured during their several repair attempts for urethral reconstruction, penile elongation, and straightening. Even after a successful repair, the main problem for these patients is sexual or psychosexual dysfunction caused by their penile size, and infertility because of a lack of ejaculation or very poor semen quality (Figure 13.4).
