Hypospadias

Hypospadias

• Hypospadias is most common congenital malformation of urethra.
• Hypospadias is a condition in which the urethral meatus opens on the underside of penis or the perineum (i.e. ventral surface of penis) proximal to the tip of the glans penis.
• It is as an association of 3 anatomic and developmental anomalies of penis.
• An abnormal ventral opening of the urethral meatus
• An abnormal Ventral curvature of the penis (chordee)
• A abnormal distribution of foreskin with a ‘hood’ present dorsally and deficient foreskin ventrally (hooded prepuce)
• Remember that Cryptorchidism is not a feature of hypospadias. But it may be seen associated with hypospadias in 8-9% of cases

Types of hypospadias

• Glandular (50-70%)
• Penile
• Subcoronal
• Penoscrotal
• Scrotal
• Perineal

Also remember

• Ventral chordee is seen in hypospadias while Dorsal chordee is a feature of epispadias
• Meatal stenosis may be associated with hypospadias and needs meatotomy for correction.
• Bifid scrotum may be seen in penoscrotal, scrotal & perinea! hypospadias.
• Epispadias is less common in relation to hypospadias

Management

“The best time for surgery for hypospadias is between 6-12 months of age”

Glandular variety- It may not require surgical correction, because it does not cause the urinary stream to be misdirected or the penis to be curved during an erection (This is the mildest and most common form)

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