Impact of pelvic floor anatomical variations on urinary continence outcome in boys with epispadias.

Secondly, the rarity of the condition resulted in a small incontinent cohort ( n = 4), limiting power for near-significant parameters (e.g., posterior anal distance, p = 0.051).

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Although these differences did not reach statistical significance, they collectively indicate a trend analogous to CBE pelvic floor anomalies: in incontinent epispadias, the bladder neck and anorectal junction appear relatively anteriorly displaced, resulting in a relative deficiency of LA muscle anteriorly and a relative excess posteriorly.

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