A male newborn delivered at 39
2/7 weeks to a 28-year-old gravida 1, para 0 woman. Pregnancy was uneventful and no fetal anomalies were detected at prenatal ultrasound. The mother underwent a cesarean section due to pelvic presentation. Apgar score was 9, 10, 10 at 1, 5, and 10 minutes, respectively. Anthropometric measurement at birth was appropriate for gestational age (weight 3090 g, head circumference 34.5 cm, length 46 cm). The postnatal exam showed a dorsally open urethral meatus with mild pubic diastasis and closed anterior abdominal wall and bladder, compatible with epispadias diagnosis. The neonate exhibited micrognathia, with no other significant abnormalities. Renal and cranial ultrasounds were normal. Genetic tests revealed a normal karyotype, but an abnormal array result (13q34x3, 16p13.3x1). During the first year, the patient will remain under surveillance, assessing bladder capacity by voiding cystourethrography and cystoscopy, whose findings will help deciding the type of surgery. The neonate will need surgical repair of epispadias and, possibly, bladder neck repair.
Figure 1. Male Epispadias.
Figure 2. Male Epispadias.
What is the diagnosis?