An infant male experiences a constant dribbling of urine. His urethral opening is located behind the glans. Which of the following is the most likely diagnosis the nurse will observe on the chart?
a. Anterior epispadias
b. Posterior epispadias
c. Exstrophy of the bladder
d. Bladder outlet obstruction
ANS: A
Anterior epispadias occurs when the urethral opening is small and situated behind the glans. Pos-terior epispadias occurs when a fissure extends the entire length of the penis and into the bladder neck. Exstrophy of the bladder occurs when the bladder is exposed on the abdominal wall. Bladder outlet obstruction occurs when urinary outflow is obstructed.
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