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Hypospadias

Ala’a AlGhanem | 211508057 | B1


The learning objectives:
 Definition and incidence
 normal development of male external
genetalia.
 risk factors
 Classification
 Symptoms and signs
 Diagnosis and investigations
 treatment
Hypospadias:

is a birth defect of the male urethra that results in


the urethral meatus (opening) being positioned in
an abnormal location on the ventral aspect of
the penis.
Incidence:

Hypospadias occurs in 1 in every 300 male children

There is an increased incidence of undescended


testicles in children with hypospadias.
Development of male External
genetalia
Development of male External
genetalia
Development of male External
genetalia
Risk factors:

1-Age and weight:

Mothers who were age 35 years or older and who were


considered obese had a higher risk of having a baby with
hypospadias

2-Fertility treatments:

3-certain hormons
classification
1-Glanular hypospadias

2-Coronal hypospadias

3-penil shaft hypospadias

4-Penscrotal hypospadias

5-perineal hypospadias
Penscrotal hypospadias
Symptoms and signs:

 new borns and young


children:

seldom have symptoms related to hypospadias.

 older children and young


adult:

may complain of difficulty directing the urinary stream


and stream spraying.
 Chodee (curvature of the
penis)

causes ventral bending and bowing of the penile


shaft, which can prevent sexual intercourse.

 Penscrotal and perineal

necessitates voiding in the sitting position

 Abnormal appearance of
penis

caused by deficient or absent ventral


foreskin
Diagnosis:

Hypospadias is usually diagnosed during a physical


examination after the baby is born.
Investigations:
1-Karyotyping and buccal
smear
children with penoscrotal and perineal hypospadias often have
a bifid scrotum and ambiguous genitalia

2-Urethroscopy and cystoscopy

to determine whether internal male sexual


organs are normally developed

3-Excretory urography

to detect additional congenital anomalies of the kidneys and ureter


Treatment:

depends on the type of defect the boy has. Most cases of


hypospadias will need surgery to correct the defect.

between the ages of 3–18 months old.

a baby boy with hypospadias should not be circumcised.


References:
Thank you