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Hypospadias, Pediatric

Ming-Hsien Wang, MD, FAAP Reviewed 10/2018
 


BASICS

DESCRIPTION

Hypospadias is one of the most common congenital anomalies of the male external genitalia. It is characterized by a urethral meatus that opens proximally on the ventral surface of th...

DIAGNOSIS

HISTORY

Important to inquire about the following: 
  • Family history of hypospadias, congenital anomalies, or genetic disorders

  • Patient history of genetic disorder and/or DSD

  • GU symptoms

  • Maternal hi...

TREATMENT

GENERAL MEASURES

  • Preferably refer to pediatric urologist within the first few weeks of life.

  • Preoperative stimulation with parenteral testosterone may be required for severe hypospadias.

  • Cases ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Surgical dressings are variable and surgeon dependent.

  • Postoperative clinic visit (surgeon dependent)

  • If urethral stent is placed, removal usually...

ADDITIONAL READING

  • Ewalt D. Pediatric Hypospadias Repair: A New Consensus Document on Coding. Linthicum, MD: American Urological Association; 2015. [View Abstract on OvidInsights]

  • Kalfa N, Liu B, Kle...

CODES

ICD9

752.61 Hypospadias 

ICD10

  • Q54.9 Hypospadias, unspecified

  • Q54.1 Hypospadias, penile

  • Q54.3 Hypospadias, perineal

  • Q54.2 Hypospadias, penoscrotal

  • Q54.8 Other hypospadias

SNOMED

  • 416010008 hypospadias (di...

FAQ

  • Q: Does the patient with hypospadias routinely have other urinary tract abnormalities?

  • A: No. Hypospadias is usually an isolated anomaly, and most patients have no other anatomic problems.

  • Q: Should...

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