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

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health 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 and head of the unit, Associate Professor of Plastic Surgery, Department of Plastic and Reconstructive Surgery, Sant'Andrea Hospital, Via di Grottarossa 1035-39, 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

42. Hypospadias hypospadias If the hypospadias is during erection. James E. Peron, MS, Ed.D. A friend s husband has mild hypospadias. He was http://www.naturalchildbirth.org/natural/resources/newborn/newborn08.htm

Hypospadias If the hypospadias is minor and the opening near or immediately below the glans such that urination is essentially normal, there is little reason to subject the child to surgical correction. Many urologists today recommend not intervening in such cases, especially at such a young age. To repair this condition requires taking skin tissue from the penile shaft. Presumably, this child was NOT circumcised. Essentially the child will be circumcised in the procedure. In many cases, the extent of surgery can result in restriction and discomfort during erection. -James E. Peron, MS, Ed.D. A friend's husband has mild hypospadias. He was a professional football player, so evidently was not humiliated out of locker rooms. He is a wonderful loving husband, she is now menopausal and they report a comfortable satisfactory sexual life with no need for lubricants or unusual forms of stimulation. This would not be possible if he had been circumcised or if his preputial nerves had been severed to "correct" a hypospadias. Parents and nurses and doctors can easily open their mouths and hearts and explain differences so that children can protect themselves from any verbal insults, far more easily than infants and children can endure terrible pain

43. Hypospadias hypospadias. hypospadias is a relatively common abnormality in which the opening of the urethra is on the underside, rather than at the end, of the penis. http://www.healthscout.com/ency/article/001286.htm

Advertisement Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Disease Injury Nutrition Poison ... Prevention Hypospadias Definition: Hypospadias is a relatively common abnormality in which the opening of the urethra is on the underside, rather than at the end, of the penis Causes, incidence, and risk factors: Hypospadias is a congenital defect that affects up to 3 in 1,000 newborn boys. The condition varies in severity. In most cases, the opening of the urethra is located near the tip of the penis on the glans. More severe forms of hypospadias occur when the opening is at the midshaft or the base of the penis.Occasionally the opening is located in the scrotum or the perineum (beneath the scrotum). This anomaly is often associated with chordee, a tight fibrous band that results in a downward curvature of the penis seen with erection. (Erections are common with infant boys.) Some cases are inherited; others result from unknown causes.

44. Claritin Cleared Of Birth Defect Hypospadias - Allergies: Health And Medical MedicineNet Home Doctor s Views AZ List Allergies Home Claritin Cleared of Birth Defect hypospadias. Claritin Cleared of Birth Defect hypospadias. http://www.medicinenet.com/script/main/art.asp?articlekey=31597

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

Bookstore Site Map Contact Us Help ... What's New? 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

46. Hypospadias And Epispadias hypospadias and epispadias. hypospadias is a congenital defect, primarily of males, in which the urethra opens on the underside (ventrum) of the penis. http://www.ehendrick.org/healthy/000723.htm

MAIN SEARCH INDEX Hypospadias and epispadias Definition Description Causes and symptoms Diagnosis ... Resources In hypospadias, the urethra opens along the penile shaft rather than at the penile tip. (Illustration by Argosy Inc.) Definition Hypospadias is a congenital defect, primarily of males, in which the urethra opens on the underside (ventrum) of the penis. The corresponding defect in females is an opening of the urethra into the vagina and is rare. Epispadias (also called bladder exstrophy) is a congenital defect of males in which the urethra opens on the upper surface (dorsum) of the penis. The corresponding defect in females is a fissure in the upper wall of the urethra and is quite rare. Description In a male, the external opening of the urinary tract (external meatus) is normally located at the tip of the penis. In a female, it is normally located between the clitoris and the vagina. In males with hypospadias, the urethra opens on the inferior surface or underside of the penis. In females with hypospadias, the urethra opens into the cavity of the vagina. In males with epispadias, the urethra opens on the superior surface or upper side of the penis. In females with epispadias, there is a crack or fissure in the wall of the urethra and out of the body through an opening in the skin above the clitoris.

47. Hypospadias In The Dog Perineal hypospadias in a dog. Case report. Sheila C. Rahal, Lígia S. L .S. da Mota, Maria J. Mamprim, Renata B. Ciani. Figure 1. Perineal hypospadias. http://www.priory.com/vet/hypospadias.htm

Perineal hypospadias in a dog. Case report Address correspondence to Dr. Sheila C. Rahal Case Report An eight-month-old, crossbreed dog, weighing 9 kg, was admitted to the Veterinary Hospital with congenital abnormalities of the urogenital tract. It was the only animal of the litter with deformity. On physical examination, underdevelopment of the penis, fusion failure of the urethra, prepuce and scrotum (Figure 1a), and an external urethral orifice located in the perineum about 1.2 cm below the anus (Figure 1b), were observed. Testicles could be palpated in the scrotal area. A groove covered by mucosa extended cranially from the cleft scrotum to the glans penis area. The dog did not display dysuria or urinary incontinence, but he squatted to urinate. Alteration of the urinary bladder shape with dilatation of its neck and presence of ventral diverticulum were observed on ultrasonographic examination (Figure 2a) and retrograde cystourethrography (Figure 2b). Chromosome analysis was performed. Peripheral blood samples and tissue were cultured as described (1, 2). Sixty cells were cytogenetically analyzed and the chromosomes were identified and classified according to Mellink and Bosma (1989) (3). Normal karyotype (78, XY) was found in all mitotic metaphases cells analyzed by Giemsa staining (Figure 3). The diagnosis was perineal hypospadias.

48. Pediatric Urology - Hypospadias Pediatric Urology / hypospadias hypospadias hypospadias is a birth defect found in 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.

49. Michigan Urology Center-Hypospadias hypospadias. hypospadias is a birth defect found in boys in which the urinary tract opening is not at the tip of the penis. Bending http://www.med.umich.edu/urology/PatientInfo/PatInfoPages/Hypospadias.htm

Michigan Urology Cente r MUC Home Patient Information Hypospadias Hypospadias is a birth defect found in boys in which the urinary tract opening is not at the tip of the penis. Bending of the penis on erection may be associated with this and is known as chordee. Hypospadias occurs in about 8 of 1000 male births. There is some family risk of hypospadias. When we see a boy with hypospadias there is a 20% chance of finding it in another family member. There are different degrees of hypospadias some minor and others more severe. We name the types of hypospadias according to their anatomic location, but one must always determine whether or not there is associated chordee. Reasons For Repair Surgical correction of hypospadias involves straightening of any chordee and then extension of the urinary tube (urethra) out to the tip of the penis (glans). The ability to stand and urinate is important for boys. When the urethra opens before it reaches the glans a boy may be unable to stand and urinate with a direct stream. The youngster who has to sit down to urinate on a toilet is at a painful social disadvantage. A straight penis is necessary for satisfactory sexual function. Although this may not seem to be an important matter in childhood, this is a crucial concern later in life - early childhood is generally the best time for correction.

50. Hypospadias And Epispadias hypospadias and epispadias. hypospadias is a congenital defect, primarily of males, in which the urethra opens on the underside (ventrum) of the penis. http://www.healthatoz.com/healthatoz/Atoz/ency/hypospadias_and_epispadias.html

Encyclopedia Index H Home Encyclopedia Encyclopedia Index H Hypospadias and epispadias Definition Hypospadias is a congenital defect, primarily of males, in which the urethra opens on the underside (ventrum) of the penis. It is one of the most common congenital abnormalities in the United States, occurring in about one of every 125 live male births. The corresponding defect in females is an opening of the urethra into the vagina and is rare. Epispadias (also called bladder exstrophy) is a congenital defect of males in which the urethra opens on the upper surface (dorsum) of the penis. The corresponding defect in females is a fissure in the upper wall of the urethra and is quite rare. Description In a male, the external opening of the urinary tract (external meatus) is normally located at the tip of the penis. In a female, it is normally located between the clitoris and the vagina. In males with hypospadias, the urethra opens on the inferior surface or underside of the penis. In females with hypospadias, the urethra opens into the cavity of the vagina. In males with epispadias, the urethra opens on the superior surface or upper side of the penis. In females with epispadias, there is a crack or fissure in the wall of the urethra and out of the body through an opening in the skin above the clitoris.

51. Hypospadias - Wikipedia, The Free Encyclopedia hypospadias Y Z . Back Home Next. hypospadias. hypospadias A parent s guide to surgery Thepenis.com - Information on penis size, penis shape http://en.wikipedia.org/wiki/Hypospadias

Hypospadias From Wikipedia, the free encyclopedia. Hypospadias and epispadias are forms of abnormal development of the urethra in the male , where the urethral opening is malformed or misplaced. In hypospadias, the urethral meatus is placed lower than normal. A chordee is when the urethra develops between the penis and the scrotum In epispadias, the urethral meatus occurs on the top surface of the penis, or the urethra is open along the top of the penis. This article is a stub . You can help Wikipedia by expanding it See also: andrology cryptorchidism bladder extrophy Peyronie's disease ... edit External links International Trends in Rates of Hypospadias and Cryptorchidism http://ehpnet1.niehs.nih.gov/docs/1999/107p297-302paulozzi/abstract.html Categories Intersexual Views Article Discussion Edit History Personal tools Log in Navigation Main Page Community portal Current events Recent changes ... Donations Search Toolbox What links here Related changes Special pages This page was last modified 15:04, 2 Jun 2004. All text is available under the terms of the GNU Free Documentation License (see for details).

52. Hypospadias & Male Fertility My husband had many surgeries as a child for his hypospadias. hypospadias Male Fertility My husband had many surgeries as a child for his hypospadias. http://www.ivillagehealth.com/experts/fertility/qas/0,,166249_175924,00.html

var cimsCid = ''; var cimsUid = '175924'; // Tacoda category stamp var dartCatStamp = "ahw_ahwexperts_ahwfertility"; Tacoda_AMS_DDC_addPair("dartCatStamp", dartCatStamp); main iVILLAGE'S BEST: setImp('spn,prpl,bnav,0604') Summer Shape Up Self-Tanning Tips setImp('spn,yh,pers,bnav,0604') What Men Think Infertility Treatments SEARCH: iVillage the Web you are here: iVillage ivillagehealth experts fertility setImp('ivl,frd,hl') watch this Birth From 21 Year Frozen Sperm Aspirin Enters The Cancer Fight FAMILY HEALTH RESOURCES Choose one 10-Minute Checkups Alternative Treatments Ask the Librarian Birth Control A-to-Z Disease Action Plans Drug Directory Expert Advice Health Calculator Health Organizations Herbal Remedies Kids' Symptom Solver Supplement Guide Symptom Solver Tests and Procedures Wellness Diets TOP 100 WOMEN'S HEALTH CONCERNS Choose one Acupuncture Allergies Alzheimer's Disease Androgen Anxiety Disorders Asthma Atherosclerosis Attention Deficit Bacterial Vaginosis Biofeedback Bipolar Disorder Birth Control Pills Blood Donation Breast Cancer Caregiving Cervical Cancer Chiropractic Chlamydia Cholesterol Chronic Fatigue Clinical Trials Colon Cancer Contraception Depression Diabetes Dry Eye Syndrome Eating Disorders Endometriosis Epilepsy Estrogen Fibroids Fibromyalgia Fitness Flu/Colds Gastroesophageal General Women's Health Genetic Testing Genital Herpes Glaucoma Gonorrhea HIV/AIDS Health Insurance Heart Disease Hepatitis High Blood Pressure Homeopathy Human Papillomavirus Hypnosis Hysterectomy Incontinence Infertility Irritable Bowel Legal Health Tools Liposuction

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

var nEditorialCatId = 373; MSN Home My MSN Hotmail Shopping ... Money Web Search: document.write(' Groups Groups Home My Groups Language ... Help Hypospadias and Epispadias Association HypospadiasandEpispadiasAssociation@groups.msn.com What's New Join Now Calendar DISCUSSION SITE ... 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 Somerset, Texas, 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

54. UAB Health System | Hypospadias What is hypospadias? hypospadias is a malformation that affects the urethral tube and the foreskin on a male s penis. What causes hypospadias? http://www.health.uab.edu/show.asp?durki=67122

55. Hypospadias hypospadias, Book, Predisposing factors Family history Father with hypospadias 8% risk; Brother with hypospadias 14% risk. Pathophysiology http://www.fpnotebook.com/URO75.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Urology Pediatrics Infectious Disease ... Chordee Hypospadias Testes Communicating Hydrocele Undescended Testicle Hypospadias Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Urology Index Bladder Endocrinology Examination Hematology and Oncology Infectious Disease Impotence Incontinence Laboratory General Obstetrics Pediatrics Penis Pharmacology Prevention Procedure Prostate Radiology Nephrology Surgery Symptom Evaluation Testes Urine Page Pediatrics Index ID UTI Penis Chordee Penis Hypospadias Testes Hydrocele Communicating Testes Undescended See Also Genitourinary Examination in Infants Epidemiology Prevalence : 4.7 to 8 per male births Predisposing factors: Family history Father with hypospadias: 8% risk Brother with hypospadias: 14% risk Pathophysiology Congenital defect of urethral meatus development Urethral folds incompletely fuse Ectopic urethral meatus between glans and perineum Associated conditions Undescended Testicle (10% association) Inguinal Hernia Hydrocele Chordee (ventral penile curvature) Classification Anterior (Distal penis and glans): 50% of cases Middle (Midshaft of penis): 30% of cases

56. Conditions And Diseases Of The Penis - Hypospadias home men s health conditions and diseases hypospadias hypospadias. Information • Diagnosis • Treatment • Prevention. What is a hypospadias? http://www.healthcyclopedia.com/men's-health/conditions-and-diseases/hypospadias

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... penis > hypospadias Conditions and Diseases of the Penis - Hypospadias Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Health News Web Directory: Related Topics: Child Health/Conditions and Diseases Health News: Search millions of published articles for news on Conditions and Diseases of the Penis - Hypospadias Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Columbia-Presbyterian Medical Center Dept of Urology-University of Michigan Information for patients about this disorder and the reason it should be repaired. Digital Urology Journal:Hypospadias A look at this disorder which occurs in about 1 out of 350 male births and what can be done about it. Hypospadias An information site for parents and people with this disorder, dealing with the surgery involved, complications and emotional impact of this condition.

57. Virtual Children's Hospital: Urology: Pediatric Urology: Hypospadias Urology What is hypospadias? What is hypospadias? hypospadias is one of the most common conditions referred to a pediatric urologist. http://www.vh.org/pediatric/patient/urology/faq/hypospadias.html

Urology What is Hypospadias? Christopher S. Cooper, M.D., Pediatric Urologist Peer Review Status: Internally Peer Reviewed First Published: January 2000 Last Revised: May 2000 What is hypospadias? Hypospadias is one of the most common conditions referred to a pediatric urologist. It is a condition where the urinary channel in a boy (called the "urethra"), does not come out at the tip of the penis. The cause is usually not known, although it does occur in some families. About 1 out of every 300 boys is born with this condition. The opening to the urinary channel may come out anywhere along the undersurface of the shaft of the penis or even as far back as beneath the scrotum. The foreskin on a penis with hypospadias is also abnormal. Frequently, a bend in the penis toward the boy's feet occurs with hypospadias. Is surgery necessary? If the opening of the hypospadias is out along the shaft, and the penis is straight, the only reason to operate is to make it look normal. If the opening of the urethra is further back on the penis or scrotum, or if it has a severe bend in it, then it may interfere with urination, sexual intercourse and fertility. When should surgery be performed?

58. Hypospadias - Medical Dictionary Definitions Of Popular Medical Terms hypospadias A birth defect of the penis involving the urethra (the transport tube leading from the bladder to discharge urine outside the body). http://www.medterms.com/script/main/art.asp?articlekey=7846

59. Penis, Hypospadias Of The - Medical Dictionary Definitions Of Popular Medical Te MedicineNet Home MedTerms medical dictionary AZ List Penis, hypospadias of the. If the hypospadias needs to be repaired, this is done by surgery. http://www.medterms.com/script/main/art.asp?articlekey=7888

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

Up Tracheostomy Foreign bodies ENT disorders ... Neonatal obstruction [ Hypospadias ] Neural tube defects Hydrocephalus Pyloric stenosis Intussusception ... 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.

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