Epispadias is a birth defect in which the urethra opens on the top side of the penis instead of at the tip. The higher the opening, the more it can change how urine leaves the body. The main sign is an off-target stream. Urine sprays upward or fans out in a wide arc, making it hard to aim into a toilet. Spraying gets worse when the bladder is full. The stream can split into two or even drip down the shaft after voiding is finished. The penis may look short or bent upward, especially during an erection, because the foreskin... Learn more