Hypospadias

Changed by Maxime St-Amant, 18 Feb 2018

Updates to Article Attributes

Body was changed:

Hypospadias refers to a type of congentialcongenital malformation affecting the male external genitalia.

Epidemiology

The estimated prevalence is ~2 (range 0.2-4.1) per 1000 live births.

Pathology

The urethral meatus is abnormally positioned proximally and ventrally to its normal position.

It is thought to be due to failure of fusion of the urethral groove secondary to either testosterone deficiency or end organ-organ insensitivity to testosterone. 

Associations

Associated anomalies are common and include:

Syndromic associations include:

Radiographic features

Antenatal ultrasound

May identify an anomalous distal morphology of the penis (where it loses its pointed end, which becomes blunter or straighter, in the form of a squashed cone).

There may be small lateral folds seen as longitudinal echogenic lines (dermal remains of the prepuce).

There may be a ventral curvature of the distal penis, extension of the penile glans beyond the prepuce, and evidence of fetal micturition in a plane perpendicular to the penile shaft 3.

  • -<p><strong>Hypospadias</strong> refers to type of congential malformation affecting the male external genitalia.</p><h4>Epidemiology</h4><p>The estimated prevalence is ~2 (range 0.2-4.1) per 1000 live births.</p><h4>Pathology</h4><p>The urethral meatus is abnormally positioned proximally and ventrally to its normal position.</p><p>It is thought to be due to failure of fusion of the urethral groove secondary to either testosterone deficiency or end organ insensitivity to testosterone. </p><h5>Associations</h5><p>Associated anomalies are common and include:</p><ul>
  • +<p><strong>Hypospadias</strong> refers to a type of congenital malformation affecting the male external genitalia.</p><h4>Epidemiology</h4><p>The estimated prevalence is ~2 (range 0.2-4.1) per 1000 live births.</p><h4>Pathology</h4><p>The urethral meatus is abnormally positioned proximally and ventrally to its normal position.</p><p>It is thought to be due to failure of fusion of the urethral groove secondary to either testosterone deficiency or end-organ insensitivity to testosterone. </p><h5>Associations</h5><p>Associated anomalies are common and include:</p><ul>
  • -<li><a href="/articles/smith-lemli-opitz-syndrome">Smith-Lemli-Opitz syndrome</a></li>
  • +<li><a href="/articles/smith-lemli-opitz-syndrome-2">Smith-Lemli-Opitz syndrome</a></li>
  • -</ul><h4>Radiographic features</h4><h5>Antenatal ultrasound</h5><p>May identify anomalous distal morphology of the penis (where it loses its pointed end, which becomes blunter or straighter, in the form of a squashed cone).</p><p>There may be small lateral folds seen as longitudinal echogenic lines (dermal remains of the prepuce).</p><p>There may be a ventral curvature of the distal <a href="/articles/penis">penis</a>, extension of the penile glans beyond the prepuce, and evidence of fetal micturition in a plane perpendicular to the penile shaft <sup>3</sup>.</p>
  • +</ul><h4>Radiographic features</h4><h5>Antenatal ultrasound</h5><p>May identify an anomalous distal morphology of the penis (where it loses its pointed end, which becomes blunter or straighter, in the form of a squashed cone).</p><p>There may be small lateral folds seen as longitudinal echogenic lines (dermal remains of the prepuce).</p><p>There may be a ventral curvature of the distal <a href="/articles/penis">penis</a>, extension of the penile glans beyond the prepuce, and evidence of fetal micturition in a plane perpendicular to the penile shaft <sup>3</sup>.</p>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.