Symptoms:

In males:

• Abnormal opening from the joint between the pubic bones to the area above the tip of the penis
• Backward flow of urine into the kidney (reflux nephropathy)
• Short, widened penis with an abnormal curvature
• Urinary tract infections
• Widened pubic bone

In females:

• Abnormal clitoris and labia
• Abnormal opening where the from the bladder neck to the area above the normal urethral opening
• Backward flow of urine into the kidney (reflux nephropathy)
• Widened pubic bone
• Urinary incontinence
• Urinary tract infections

Signs and tests:

• Blood test to check electrolyte levels
• Intravenous pyelogram (IVP), a special x-ray of the kidneys, bladder, and ureters
• Pelvic x-ray
• Ultrasound of the urogenital system