Hypospadias in little boy

Everyone has a urethral opening, no matter whether it is male, female or child, and their urethra often has some problems, such as viral infection, including hypospadias. There are many reasons for this, such as excessive movement and then hypospadias, but there are also other reasons. So why does little boy have hypospadias?

Hypospadias is a congenital defect in which the male urethral opening is located abnormally. The urethral opening may be located on the line from the normal urethral opening to the perineum. Most patients may have a ventral curvature of the penis. Hypospadias is a common malformation of the urinary system in children. According to foreign reports, the incidence rate can be as high as 1 in 125 to 250 male babies.

In hypospadias, the penile fascia and skin fail to develop normally on the ventral side of the penis during the 8th to 14th week of pregnancy. Hypospadias may form when the urethral groove is not fully fused. At the same time, the corpus spongiosum is also underdeveloped, forming a cord at the distal end of the hypospadias, which can cause penile curvature. Most cases of hypospadias have no clear cause, and most scholars believe that multiple factors are involved in the formation of hypospadias. A small number of cases may be caused by single gene mutations, while most cases reported in the literature are related to advanced maternal age, endocrine levels, ovulation-inducing drugs, anti-epileptic drugs, low birth weight, preeclampsia and other environmental factors.

Hypospadias is a malformation of the external genitalia that is easily diagnosed based on typical clinical manifestations and physical examination. After confirming hypospadias, further examination is required for the presence of associated malformations. Severe hypospadias requires further urinary tract examination, such as voiding cystourethrography, to rule out other urinary tract malformations. When hypospadias is combined with bilateral cryptorchidism, attention should be paid to whether there is any gender abnormality.