ABSTRACT

Associated anomalies include cryptorchidism (8-9 percent) and inguinal hernia/hydrocele (9-16 percent). The rate of associated genital anomalies increases in patients with more severe proximal defects. An intersex condition, or disorders of sex development (DSD), should be considered in patients with concomitant hypospadias and cryptorchidism. Patients with severe hypospadias may also have a significantly enlarged utricle, which may serve as a nidus for urinary tract infections and cause voiding difficulties.