Hypospadias. An introduction.
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Transcript of Hypospadias. An introduction.
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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