Hypospadias
Affects approximately 1 in 500 boys
Due to incomplete fusion of genital folds and glandular urethra
Urethra
found on ventral surface of penis
Replaced distally fibrous chordee
Deformity consists of malpositioned meatus, chordee and abnormal foreskin
If any degree of hypospadias is present circumcision is contraindicated
70% are glandular or coronal
10% are penile
20% are
scrotal
Perineal hypospadias is associated with intersex and anorectal
anomalies
Management
Treatment is required
To improve urinary stream
To allow sexual intercourse
Usually
performed between 2 and 4 years of age
Glandular hypospadias requires a
glandular meatotomy
Coronal hypospadias requires a meatal advancement and
glanduloplasty (MAGPI operation)
Proximal hypospadias without a chordee can
be treated by a skin flap advancement
If chordee present it should be
excised and an island flap urethroplasty performed
Complications
Complications of hypospadias surgery include:
Urethral fistula
Urethral stricture
الإثنين 07 أبريل 2008, 01:50