Hypospadias. An introduction.

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National Institute Of Child Health (N.I.C.H) Karachi

For introduction to interns regarding hypospadias.

Santé & Médecine

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

Features to look for
• Level of hypospadias
• Bilateral descended testes
• Chordee
• Torsion
• Glanular cleft
• Width of urethral plate

Disorder of sexual differentiation
 Rule of 2/3
If 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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Hypospadias. An introduction.

1. Hypospadias Part I Waqas Ali

3. 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

6. Classification

10.

11.

12.

13.

14. Features to look for • Level of hypospadias • Bilateral descended testes • Chordee • Torsion • Glanular cleft • Width of urethral plate

15. Chordee

16. Torsion

17.

18. Disorder of sexual differentiation  Rule of 2/3 If 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

19. ?

Hypospadias. An introduction.

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