41. Hypospadias Of The Penis hypospadias of Penis From the Virtual Pathology Museum, Department of Pathology,University of Connecticut Health Center. Perineal hypospadias. http://radiology.uchc.edu/eAtlas/GU/774.htm

42. EMedicine - Hypospadias : Article By John M Gatti, MD hypospadias hypospadias is an abnormality of anterior urethral development inwhich the urethral opening is ectopically located on the ventrum of the penis http://www.emedicine.com/PED/topic1136.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Urology Hypospadias Last Updated: January 31, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: chordee, penile deformity AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Differentials ... Bibliography Author: John M Gatti, MD , Assistant Professor, Department of Pediatric Surgery, Division of Pediatric Urology, Children's Mercy Hospital and Kansas University Medical Center Coauthor(s): Andrew Kirsch, MD , Fellowship Director, Division of Pediatric Urology, Associate Professor, Department of Urology, Children's Healthcare of Atlanta and Emory University School of Medicine; Howard M Snyder III, MD , Professor, Department of Surgery, Division of Pediatric Urology, University of Pennsylvania School of Medicine John M Gatti, MD, is a member of the following medical societies: American Urological Association Editor(s): M David Bomalaski, MD

43. EMedicine - Urogenital Reconstruction, Penile Hypospadias : Article By Fabio San Urogenital Reconstruction, Penile hypospadias Congenital malformations of malegenitalia include a wide range of clinical situations such as hypospadias http://www.emedicine.com/plastic/topic495.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Plastic Surgery Trunk Urogenital Reconstruction, Penile Hypospadias Last Updated: November 6, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: urethroplasty, hypospadias AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography Author: Fabio Santanelli, MD, PhD , Chairman, Department of Plastic Surgery, Sant'Andrea Hospital, Italy; Associate Professor, Department of Plastic and Reconstructive Surgery, University of Rome Coauthor(s): Francesca Romana Grippaudo, MD , Assistant Professor, Department of Plastic Surgery, University of Rome Policlinico Umberto I, Italy Fabio Santanelli, MD, PhD, is a member of the following medical societies: American Society of Plastic Surgeons Editor(s): Dennis P Orgill, MD, PhD , Associate Chief, Associate Professor, Department of Surgery, Division of Plastic Surgery, Brigham and Women's Hospital, Harvard University; Francisco Talavera, PharmD, PhD

44. Pediatric Urology - Hypospadias Pediatric Urology / hypospadias hypospadias hypospadias is a birth defect foundin boys in which the penile meatus is not at the tip of the penis. http://www.cornellurology.com/uro/cornell/pediatrics/hypospadias.shtml

Advanced Search General Information Prenatal Hydronephrosis Undescended Testes ... Patients Pediatric Urology Hypospadias Hypospadias Embryology Treatment Potential Complications Discharge Instructions ... When To Seek Attention Hypospadias is a birth defect found in boys in which the penile meatus is not at the tip of the penis. The meatus is the term for the opening of the penis through which urine normally exits the bladder. The incidence is reported to be 1 in 300 live male births. There is some family risk of hypospadias, as familial tendencies have been noted. Up to 14% of male siblings are affected. Hypospadias is usually classified according to the location of the opening. As the defect increases in severity, the opening to the penis will be found further back on the penis. The most severe types can have openings at the region of the scrotum and even in the perineum (the region between the anus and scrotum). Hypospadias can be associated with another defect called chordee. Chordee is a downward curvature of the penis. Both hypospadias and chordee must be repaired so that a child can have normal urinary and reproductive health. back to top Embryology: As a boy is developing in utero, the penis begins to form in the sixth week of fetal life. Two folds of tissue join each other in the middle and a hollow tube is formed in the middle of the future penis. This tube is the urethra and its opening is called the penile meatus. As the skin folds develop to form the penis, any interruption in this process leads to the meatus being located in a location further from the end of the penis. The exact etiology for this premature cessation of urethral formation is poorly understood. In addition, the etiology of the often-associated abnormal downward curvature (chordee) is also poorly understood.

45. Hypospadias hypospadias. Bibliography. Soomro NA, Neal D E. Treatment of hypospadiasan update of current practice. Hosp Med 1998; 59 553556. http://www.surgical-tutor.org.uk/system/hnep/hypospadias.htm

Up Tracheostomy Foreign bodies Epistaxis ... Neonatal obstruction [ Hypospadias ] Neural tube defects Pyloric stenosis Intussusception Necrotising enterocolitis ... Neck lumps in children Hypospadias Affects approximately 1 in 500 boys Due to incomplete fusion of genital folds and glandular urethra Urethra found on ventral surface of penis Replaced distally fibrous chordee Deformity consists of malpositioned meatus, chordee and abnormal foreskin If any degree of hypospadias is present circumcision is contraindicated 70% are glandular or coronal 10% are penile 20% are scrotal Perineal hypospadias is associated with intersex and anorectal anomalies Management Treatment is required To improve urinary stream To allow sexual intercourse Usually performed between 2 and 4 years of age Glandular hypospadias requires a glandular meatotomy Coronal hypospadias requires a meatal advancement and glanduloplasty (MAGPI operation) Proximal hypospadias without a chordee can be treated by a skin flap advancement If chordee present it should be excised and an island flap urethroplasty performed Complications Complications of hypospadias surgery include: Urethral fistula Urethral stricture Bibliography Soomro N A, Neal D E. Treatment of hypospadias: an update of current practice.

46. BBC Health - Ask The Doctor - Hypospadias Ask the Doctor. Q hypospadias. My friend say he has 'hypospadias'. hypospadiasis an abnormality of the penis which about 1 in 300 baby boys are born with. http://www.bbc.co.uk/health/ask_doctor/hypospadias.shtml

CATEGORIES TV RADIO COMMUNICATE ... INDEX SEARCH MONDAY 31st March 2003 Text only BBC Homepage Health Homepage Ask the Doctor ... Help Like this page? Send it to a friend! Ask the Doctor Q: Hypospadias My friend say he has 'hypospadias'. Please can you tell me what this is, and most important of all, is his life at risk? I am asking you because he did not tell me anything about this and I am very concerned for him, and I don't want to ask him in case he gets upset. David Dr Trisha Macnair responds Hypospadias is an abnormality of the penis which about 1 in 300 baby boys are born with. In hypospadias the opening of urethra (the tube which carries urine and semen out of the body - i.e., through which a man urinates and ejaculates) is on the underside of the penis instead of being at the end of the penis. The urethral opening may still be on the glans or head of the penis or it may be further down the shaft. In some men who are affected with hypospadias, there is another abnormality called chordee. In this condition, the penis curves downwards and the foreskin only covers the front of the penis. In the most severe forms of hypospadias the urethral opening is so far back it is almost in the scrotum. The scrotum itself may be small and the testes undescended (not in the scrotum, but still deep in the abdomen). When babies are born like this it can be difficult to work out what sex they are without further tests.

47. Penis Enlargement Magazine - Hypospadias hypospadias is a relatively common birth defect that occurs in approximately oneout of every 350 male births. Enlargement Exercises. What is hypospadias? http://www.penisenlargementmagazine.com/hypospadias.htm

Enlargement Exercises All-natural penis enlargement exercises and techniques. Those "Ancient Methods" you've heard about! Penis enlargement pills, creams, and liquids. Enlargement Devices Penis pumps, weights, stretchers Enlargement Surgery Penile enhancement procedures... cut, cut, snip, snip and you're done! Enlargement Links Here it is! The Ultimate Guide to sites on the Net offering Penis Enlargement... hundreds of listings! Medical View One doctor's take on penis enlargement. Expert Advice "Penis Experts" tell you what to look for in an enlargement program. Penis Size Research, data and charts reveal the "Average" size of most men. Find out where you fit in. Woman's Perspective Hear a different side to the question "Does Size Matter?". Women never lie... right? Dear Doc Phallus Our resident enlargement "Know-It-All" answers your penis queries. The most Frequently Asked Questions about penis enlargement. Letters From Readers Our loyal readers weigh in on our recent magazine What is hypospadias?

48. Urology | Hypospadias hypospadias, Print Format. Severe hypospadias, a deformity in whichthe urethra opens on the underside of the penis, is a birth defect http://www.ucsfhealth.org/childrens/medical_services/urology/hspadias/

Quick Links... Admissions Appointments Billing Clinics Contact a Patient Contact Us Directions and Maps Events Calendar For Health Professionals Jobs Make A Donation Medical Dictionary News Phone Numbers Volunteer Services Urology Topics Hypospadias To Visit Us Our Experts ... Events and Classes Request an appointment, get directions and phone numbers, find hospital visiting hours and more Choose a doctor from among the 900 experts on our staff Events calendar, medical dictionary, news, patient education and other online resources Hypospadias Print Format Severe hypospadias, a deformity in which the urethra opens on the underside of the penis, is a birth defect that can have a devastating effect. In the most serious cases, boys can't urinate normally. Men, who have this condition and have not been treated, may not be able to function sexually. The rate in which this defect occurs has doubled according to several studies conducted in the United States and Europe over the past 30 years. In a study in metropolitan Atlanta from 1968 to 1993, the rate increased from 18 per 10,000 births to 40 per 10,000 births. Researchers speculate that the increase may have something to do with exposure to environmental toxins. Some have suggested the increase also may be due to increased interest in detecting and reporting the condition. However, a federal Centers for Disease Control and Prevention report suggests since hypospadias not only are becoming more common, but severe cases are increasing, other explanations should be sought.

49. Urology | Hypospadias | Hypospadias Library Events calendar, medical dictionary, news, patient educationand other online resources. hypospadias, Print Format. hypospadias. http://www.ucsfhealth.org/childrens/medical_services/urology/hspadias/conditions

Quick Links... Admissions Appointments Billing Calendar Clinical Trials Clinics Conditions and Treatments Contact a Patient Contact Us Directions and Maps For Health Professionals Jobs Make A Donation Medical Dictionary News Phone Numbers UCSF Medical Center Volunteer Services Urology Topics Hypospadias To Visit Us Our Experts ... Events and Classes Request an appointment, get directions and phone numbers, find hospital visiting hours and more Choose a doctor from among the 900 experts on our staff Events calendar, medical dictionary, news, patient education and other online resources Hypospadias Print Format Hypospadias Signs and Symptoms Diagnosis Treatment Signs and Symptoms Problems resulting from hypospadias include deviation of the urinary stream, cosmetic and psychological considerations, and potential adverse effect on sexual functioning. The best time to repair hypospadias is between the ages of 6 to 15 months, when the psychological effects of genital surgery are minimal. At UCSF, hypospadias repair is done exclusively on an outpatient basis, minimizing separation of the child from parents and reducing the cost of the procedure. Home About Us Contact Us Jobs UCSF Campus University of California ... Compliance

50. Hypospadias PEDIATRIC UROLOGY hypospadias Back to Urology Home, hypospadias.What is hypospadias? hypospadias is a common congenital anomaly http://www.urology.medsch.ucla.edu/ped-hypospadias.htm

PEDIATRIC UROLOGY HYPOSPADIAS Clark Morrison Children's Ctr spina bifida bed wetting/incontinence vesicoureteral reflux ... x-ray studies Hypospadias What is Hypospadias? Hypospadias is a common congenital anomaly (birth defect) of the penis that affects approximately 1 out of 300 boys. The urethral opening is not in the normal anatomic location but rather somewhere on the undersurface of the penis. Boys with hypospadias often are missing the undersurface half of their foreskin so that the foreskin forms a hood. There is often a bend (called chordee) in the erect penis. What causes it? Hypospadias results from incomplete development of the urethra. It is sometimes inherited. Other than inherited cases, the cause is usually not known. Why is it important? Hypospadias may cause deviation of the urinary stream so that the boy is forced to sit to urinate. Additionally, sexual function may be hampered by the location of the urethral opening or by the bend in the penis. Can it be corrected?

51. Hypospadias And Epispadias Association We are a community of persons who are interested in the many issuesrelated to the male conditions of hypospadias and epispadias. http://groups.msn.com/HypospadiasandEpispadiasAssociation

MSN Home My MSN Hotmail Search ... Money Groups Hypospadias and Epispadias Association HypospadiasandEpispadiasAssociation@groups.msn.com Groups Home My Groups Language Help ... Recommend This Group to a Friend Welcome to our new MSN Community that is an international arm of the Hypospadias and Epispadias Association based in Greenwood Village, Colorado, USA. We are a group formed to be supportive of one another and to dispel the shame, poor self esteem, poor self body image and emotional turmoil often associated with hypospadias and epispadias. You are not alone in this world with hypospadias and epispadias. There are many boys and men who wish to discuss their experiences with hypospadias and epispadias and to share the issues with which they are confronted. Please join us and spread the news about this group. Please look at our website: www.hypospadias.net . Also, take a look at our Yahoo Groups: Hypospadias and Epispadias Assn Forum and Hypospadias and Epispadias Education . Consider using this site as a chat site with one another. You can e-mail us at: hypoepiassn@yahoo.com

52. Colorado HealthSite ~ Pediatric Urology: Hypospadias Pediatric Urology hypospadias. This center is enhanced with an CHS dictionary. Thisis usually much easier to repair than hypospadias. http://www.coloradohealthsite.org/puc/puc_hypo.html

Pediatric Urology: Hypospadias This center is enhanced with an CHS dictionary Definition, Diagnosis, and Treatment Definition: Definition: This is an abnormality of development of the penis. There are a number of separate alterations from normal, that when present in various combinations, are the spectrum of the disorder called Hypospadias. Basically, hypospadias means that the opening of the urethra,(meatus) is not in its normal position at the tip of the glans or head of the penis. This urethral defect is most often combined with an abnormality of the prepuce (foreskin) which is often opened and looks like a hood over the end of the penis. The urethral meatus can open, in this disorder, anywhere from a slight dislocation on the glans, down to the perineum behind the scrotum, which in that situation the scrotum would be separated. The glans (head) is often opened and flattened, which will later require repair as part of the corrective procedure. The urethra can also be patulous or gaping which is another variable. The corpus spongiosum, the spongelike tissue around the urethra is often not developed properly, is scarred or is absent in that part of the urethra involved. There is a "urethral plate" or posterior mucosa present in most cases. Chordee, or curvature of the penis, is often combined with the urethral defect thus giving the penis a shortened appearance. The farther the meatus (opening) is from the end of the penis, usually the more chordee that is present. The curve is most often ventral or curving downward. It can also be lateral, and in addition, various degrees of turning in the long axis can also be present.

53. CHS ~ 1999-2003 Questions And Answers: Pediatric Urology: Hypospadias Pediatric Urology hypospadias (17). Question Hello, my questions are 1. What isabout the appropriate age to do a correction on a mild form of hypospadias? http://www.coloradohealthsite.org/chnqna.html?Pediatric Urology?Hypospadias?all

54. LUMC Urology: Health Topics/Hypospadias Health Topics hypospadias. hypospadias is the medical name used to describe aurine channel which ends under the tip of the penis. What causes hypospadias? http://www.luhs.org/depts/urology/html/htopic4.htm

Health Topics: Hypospadias Hypospadias is the medical name used to describe a urine channel which ends under the tip of the penis. During pregnancy, the urine channel starts developing as a groove between two ridges. The ridges grow and fuse together on the under side of the penis to make a tube. This tube closes from behind the scrotum (the sac holding the testicles) out to the tip of the penis. As it forms, the tube leaves a little line on the skin which you can see on the scrotum and the penis. If the closing over of the tube stops before it reaches the end of the penis, hypospadias results. What causes hypospadias? No one knows exactly what causes hypospadias, but we do know that it is not caused by anything either parent did during or before the pregnancy. Hypospadias can occur in some family lines. However, in most cases, it is not inherited. How is hypospadias treated?

55. What Is Hypospadias? This site is intended for parents of boys born with the condition hypospadias. hypospadiasis a deformity of the penis that is already present at birth. http://www.hic-ups.org/html/what_is_hypospadias_.html

Hypospadias is a deformity of the penis that is already present at birth. This is usually when the condition is diagnosed. The latest figures (Feb '99) show that the incidence of this condition is rising with 1 in every 150 boys born in Britain having some form of Hypospadias. Why does this happen? - There are no proven causes of the condition, but keep an eye on our news page where we will keep you up to date with research. What is known is that the condition occurs in the first 3 to 4 months of life in the womb, during the time when the genitals are forming. There is a wide variance of the severity of the abnormality and therefore the appearance of the condition can vary depending on that severity Visit the Hic-Ups Guestbook Web development by B3

56. Hypospadias In Children - Keep Kids Healthy hypospadias and chordee repair info for children who have the meatus (openingof the urethra) in an abnormal position on their penis. hypospadias. http://www.keepkidshealthy.com/welcome/conditions/hypospadias.html

Bookstore Site Map Contact Us Help ... Free Web Pages! Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend Main Diseases and Conditions Hypospadias Hypospadias is a common anomaly of the external genitalia in newborns, occurring in about 1 out of every 150 to 250 live births. It is defined as a congenital defect of the penis, in which the urethral meatus (opening of the urethra) is incompletely developed. This can cause the opening of the urethra to be located anywhere on the ventral (bottom) surface of the penis. In mild cases it may be at the base of the glans (the head of the penis) or just a little bit off center, but it more severe cases it may be anywhere along the bottom shaft of the penis or on the scrotum. Hypospadias, in addition to the

57. Center For Reconstructive Urology: Hypospadias referral for diseases of the urethra and male external genitalia including Urethralstricture disease, Peyronie's disease, hypospadias, Erectile Dysfunction http://www.urethralstricture.com/hypospadias.html

HOME OUR PHYSICIANS RECONSTRUCTIVE UROLOGY FOR ... CONTACT US HYPOSPADIAS Hypospadias is a congenital disorder associated with maldevelopment of the male urethra. In general, the opening of the urethra (meatus) is not at the tip if the head of the penis (glans penis), but rather along the undersurface of the penis. Associated findings in boys with hypospadias are a downward curvature of the penis with erections (chordee) and a "hooded" foreskin, where the foreskin is present along the top of the penis (dorsal penis), but deficient along the bottom of the penis (ventral penis). The surgical treatment of hypospadias is is designed to position the meatus at the tip of the penis (the normal location), and correct any downward curvature. The choice of surgical technique is made on an individual basis. TREATMENT OPTIONS Treatment options include the use of the redundant dorsal skin as a flap to augment the deficient uretha, incision of the urethra dorsally and ventral closure (Snodgrass repair), and other techniques. At our center, we often manage patients with a history of prior repairs that have failed and who have urethral openings proximal to the normal location without available local skin for use in repair and/or strictures of the reconstructed urethra. These patients generally require complex reconstructions that may include the use of buccal mucosa grafts or staged repairs with a split thickness skin graft. However, it is our experience that even complex repairs are associated with a high success rate.

58. Hypospadias hypospadias. Treatment hypospadias is corrected surgically under a general anesthetic,the type of surgery depending on the severity of the condition. http://menshealth.about.com/library/weekly/aa111202a.htm

zfp=-1 About Men's Health Search in this topic on About on the Web in Products Web Hosting Men's Health with Jerry Kennard Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS What is Men's Health? Embarrassing Issues Glossary ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Hypospadias The male birth defect that affects 1 in every 100 births Related Resources Top embarrassment s Understanding Impotence Anorgasmia From Other Guides FDA Investigation Circumcision Elsewhere on the Web Hypospadias.net Hypospadias Support Hypospadias is a male birth defect where the opening of the urinary tract, the urethra, is not located at the tip of the penis but opens part way up. Affecting approximately 1 in every 100 male births with varying degrees of severity, it is 20 per cent more likely to happen where another close family member has experienced the same defect. Treatment Hypospadias is corrected surgically under a general anesthetic, the type of surgery depending on the severity of the condition. Because boys stand to urinate it is important that the urinary stream is easily controllable, lack of control due to hypospadias can lead to acute social embarrassment. This is one of the reasons that it is ideally treated in infancy, preferably between the ages of 8 to 18 months of age. Another reason is that psychological trauma is minimized. Small children are usually good healers and the parents can be shown the wound care that will be required post operatively.

59. FamilyFun: Health Encyclopedia: Hypospadias hypospadias, In chordee. Occasionally, boys with hypospadias also haveother, less readily apparent, abnormalities of the urinary tract. http://familyfun.go.com/raisingkids/child/health/childhealth/dony79enc_hypos/

Search FamilyFun shortcuts Parenting Tools Field Guide to Parenting Parent Problem Solver Pregnancy Calendar Baby Name Finder ... Article Library Parenting Checklists Immunizations Nursery Planner Holidays All Checklists Parenting Experts Jan Faull, Child Development Dominic Cappello, Learning All Experts parent ... to parent Get tips, support Parenting Boards Expecting Potty Training Sleep Stay-at-Home Moms ... E-Cards Creative. Fun. Free. Catching up is easy to do. Send an E-Card HYPOSPADIAS In this congenital defect of the penis, the tube that passes urine from the bladder to the outside of the body (the urethra) opens on the underside of the penis or in the scrotum, instead of the end of the penis. In addition, bands of fibrous tissue on the underside of the penis often give it a sharp, downward curvature called chordee. Occasionally, boys with hypospadias also have other, less readily apparent, abnormalities of the urinary tract. To detect such abnormalities, the pediatrician may recommend an examination of the entire urinary system including the kidneys and bladder by means of special X-ray or imaging studies. HOW DOES HYPOSPADIAS DEVELOP?

60. ESynopsis Of Hypospadias Of The Penis eSynopsis of hypospadias of Penis From the Electonic Synopsis of Pathology, theUniversity of Connecticut School of Medicine, Department of Pathology. http://esynopsis.uchc.edu/S302.htm

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