Comparative study of hypospadias morphology with normal age-matched subjects

Saurabh Kumar; Santosh Kumar Singh; Manu Rajan

doi:10.18203/2320-6012.ijrms20232785

Authors

Saurabh Kumar Department of General Surgery, Swami Rama Himalayan University, Jolly Grant, Dehradun, Uttarakhand, India
Santosh Kumar Singh Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly Grant, Dehradun, Uttarakhand, India
Manu Rajan Department of Plastic Surgery, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly Grant, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232785

Keywords:

Hypospadias, Morphology, Child, Penile anthropometry

Abstract

Background: Hypospadias is the most common congenital malformation of the penis, affecting about 4-6 males per 1000 births, and ranging in severity from a ventrally located urethral meatus that is slightly off-center to tip of penis to up to the perineal area. The current research is intended towards studying the morphology of hypospadias and undertakes a comparison with the age matched population.

Methods: It was an observational, cross-sectional study conducted in the Department of General Surgery, Himalayan institute of medical sciences, Swami Ram Nagar, Dehradun, Uttarakhand, India over the period of 12 months. We included a total of 120 study subjects, consisting of 60 cases and 60 controls. All patients of hypospadias with no other genital pathology visiting the OPD for the 1st time were included. Patients were categorized as having distal (distal to corona), mid (proximal to corona & up to distal shaft), or proximal hypospadias (in the shaft). Mean maximum width, thickness and vertical length of the glans, stretched penile length, diameter and circumference of penile shaft were recorded.

Results: Variables like stretched penile length, width and circumference of mid penile shaft and variables like urethral plate, urethral groove, breadth of dorsal hood, maximum width and thickness of glans were found to be insignificant when compared with controls. However, vertical length of glans among cases was significantly less when compared with controls.

Conclusions: A significant association between vertical length of glans between controls and cases was found.

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