Hello and welcome to the Zero to Finals podcast.

My name is Tom, and in this episode I'm going to be talking to you about hypospadius.

And if you want to follow along with written notes on this topic,

you can follow along at zero tofinals.com slash hypospadius

or in the renal and neurology section of the zero-definals pediatrics book.

So let's get straight into it.

Hypospedius is a condition affecting males where the urethral meatus, which is the opening of

the urethra, is abnormally displaced posteriorly on the penis.

This might be further towards the bottom of the glands, in about 90% of cases,

halfway down the shaft or even right at the base of the shaft.

Epispedius is where the meatus is displaced anteriorly on the top of the penis.

Usually the foreskin is abnormally

formed to match the position of the meatus. There can also be an associated

condition called cordy which is where the head of the penis bends downwards.

Hyperspidias is a congenital condition that affects babies from birth and is

usually diagnosed on the

examination of the newborn. Let's talk about management. Hyperspidias requires referral to a pediatric

specialist urologist for ongoing management. It's important to warn the parents not to circumcise

the infant until a urologist has indicated that this is okay.

Mild cases may not require any treatment.

Surgery is performed usually after three to four months of age.

And surgery aims to correct the position of the meatus and straighten the penis.

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