What defines the severity of hypospadias?

The severity of hypospadias is defined by the location of the urethral opening along the ventral aspect of the penis. The distance from the tip of the glans to the urethral opening is measured and classified as:

- Glanular hypospadias: The urethral opening is located on the glans of the penis. This is the mildest form of hypospadias and is often treated with simple surgery.

- Coronal hypospadias: The urethral opening is located at the corona of the penis, just below the glans. This is also a relatively mild form of hypospadias and can often be treated with surgery.

- Penile hypospadias: The urethral opening is located along the shaft of the penis. This is the most common type of hypospadias and can range from mild to severe.

- Penoscrotal hypospadias: The urethral opening is located at the junction of the penis and the scrotum. This is a more severe form of hypospadias and may require more complex surgery.

- Scrotal hypospadias: The urethral opening is located on the scrotum. This is the most severe form of hypospadias and often requires complex surgery to correct.

In addition to the location of the urethral opening, the severity of hypospadias can also be determined by the presence of other abnormalities, such as:

- Chordee: A curvature of the penis that is caused by a tight band of tissue on the underside of the penis.

- Meatal stenosis: A narrowing of the urethral opening.

- Phimosis: A condition in which the foreskin is too tight and cannot be retracted over the glans of the penis.

The severity of hypospadias can affect the treatment options and the long-term outcomes of the condition.