A 3-week-old female infant is brought to the pediatric clinic by her parents who are concerned about an abnormal appearance of her genitalia. The parents have noticed that her urethral opening is located on the upper part of the vulva, instead of the normal location in the perineum. They are worried that this might cause future complications.

Upon examination, the pediatrician confirms that the infant has female epispadias, a rare congenital condition where the urethral opening is positioned along the dorsal side of the clitoris or upper part of the vulva. There is no visible swelling, infection, or discomfort, and the baby is otherwise healthy, with normal feeding and growth. The diagnosis is made after a careful physical examination, and further imaging studies are recommended to rule out any associated abnormalities in the urinary tract.

The pediatric urologist is consulted to discuss the management plan. Female epispadias can result in urinary incontinence, recurrent urinary tract infections, and difficulties with sexual function in adulthood if not properly addressed. The treatment plan typically involves surgical intervention, which aims to reposition the urethral opening to its normal location, usually performed between 6 months and 1 year of age.

The family is educated on the condition, and a follow-up plan is established to monitor the child’s development and prepare for surgery. The parents are reassured that, with proper treatment, the child can expect good functional and cosmetic outcomes.