

DR SHANDIP KUMAR SINHA

Pediatric Surgeon, Pediatric Urologist and Pediatric Laparoscopic Surgeon

Hypospadias for Medical Personal
Hypospadias - Clinical Examination
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Clinical examination of hypospadias - There are 3 key features of hypospadias, although not all 3 are required for the condition:
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Ventral opening of the urethral meatus
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Ventral curvature of the penis or “Chordee”
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Dorsal hooded foreskin
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For description purposes, especially for students during examination, hypospadias can be described on following points.
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Meatus location
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Chordee
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Glans width
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Urethral plate quality and width
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Penile length & girth
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Penile torsion
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Scrotal transposition
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Prepuce status
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Meatus location- Glanular, coronal, mid penile, proximal penile, penoscrotal, pereneal
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Chordee- absent, less than 30 degree or more than 3- degree
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Glans width - deep ( >14mm, poor-12-14 mm, flat< 12mm)
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Urethral plate quality and width - supple or fibrotic, with width > 8mm or less
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Prepuce status- well developed or poorly developed or circumcised
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Penile length & girth- short ( less than 3 cm stretched penile length) or normal( > 3cm stretched penile length)
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Penile torsion - no torsion, left torsion or right torsion
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Scrotal transposition- no transposition, incomplete transposition or complete transposition
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Testes- normal, undescended- unilateral or bilateral

