Epispadias
photo by William Kennedy, MD
This is an example of severe epispadias and bladder exstrophy. The penis appears to be nearly completely splayed open lengthwise on the dorsal surface, and actually has a dorsal curvature which is minimized by the downward pressure applied to the scrotum. The red tissue inferior to the umbilical cord is the inner (posterior) wall of the bladder which is also splayed apart and protruding through a defect in the anterior pelvic wall. Surgical correction is required.
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