Penile Epispadias in Adulthood: A Case Report and Comprehensive Review of Surgical Techniques

Abstract: Background: Penile epispadias is an exceptionally rare congenital malformation, often diagnosed in infancy. Adult presentations are scarcely documented, posing unique reconstructive challenges. Case Presentation: A 44-year-old male with untreated penile epispadias underwent successful urethroplasty using the modified Cantwell-Young technique, with optimal functional and cosmetic outcomes at 10-month follow-up. Discussion: We analyze the embryological basis, diagnostic pitfalls, and evolving surgical strategies for adult epispadias repair, emphasizing anatomic preservation and complication avoidance. Conclusion: Delayed epispadias repair in adults is feasible with meticulous technique selection, though early intervention remains ideal to mitigate psychosocial and urologic sequelae.