Hypospadias

Question 1

What type of condition is Hypospadias?

Answer 1

Congenital abnormality of the penis

Question 2

What is hypospadias?

Answer 2

Condition where the urethral meatus (the opening of the urethra) is abnormally displaced to the ventral side (underside) of the penis, towards the scrotum

Question 3

How is hypospadias diagnosed?

Answer 3

Identified during examination of the new born

If missed, parents may notice an abnormal urine stream.

Question 4

What are the features of hypospadias?

Answer 4

• a ventral urethral meatus
• a hooded prepuce
• chordee (ventral curvature of the penis) in more severe forms
• the urethral meatus opens distally

Question 5

How might the urethral meatus be affected in more severe forms?

Answer 5

The urethral meatus may open more proximally in the more severe variants.

Question 6

What is hypospadias associated with?

Answer 6

• Cryptorchidism (present in 10%)

* Inguinal hernia.

Question 7

How does hypospadias most commonly occur?

Answer 7

As an isolated condition

Question 8

What are possible complications of hypospadias?

Answer 8

• Difficulty directing urination
• Cosmetic and psychological concerns
• Sexual dysfunction

Question 9

What is the management of hypospadias?

Answer 9

Corrective surgery

Question 10

When is corrective surgery for hypospadias preformed?

Answer 10

When the child is 12 months

Question 11

What should the parents of a child with hypospadias not do?

Answer 11

Circumcise the child

Question 12

Why should a child with hypospadias not be circumcised?

Answer 12

Foreskin may be used in the corrective procedure