HypospadiasPart I

Waqas Ali

Objectives

On completion of this presentation, you should be able to

• diagnose various types of hypospadias upon clinical examination

• elaborate features to look for in hypospadiac genitalia

• decide when to evaluate for a DSD

Classification

Features to look for

• Level of hypospadias• Bilateral descended testes• Chordee• Torsion• Glanular cleft• Width of urethral plate

Chordee

Torsion

Disorder of sexual differentiation

Rule of 2/3If any of two of three genital structures are abnormal

then evaluate for DSD e.g. Hypospadias with unilateral UDT

• Kaefer M, Diamond D, Hendren WH, et al. The incidence of intersexuality in children with cryptorchidism and hypospadias: stratification based on gonadal palpability and meatal position. J Urol 1999;162:1003 –6

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