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”

Exam Question

• Hypospadias is most common congenital malformation of urethra.
• M/c Type – Glandular
• Cryptorchidism is not a feature of hypospadias. But it may be seen associated with hypospadias in 8-9% of cases
• 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
• The best time for surgery for hypospadias is between 6-12 months of age”