ABSTRACT

Hypospadias is classically defined as an association of three congenital anatomic anomalies of the penis: (1) an abnormal ventral opening of the urethral meatus, (2) an abnormal ventral curvature of the penis (called chordee), and (3) an abnormal dorsal ‘hood’ distribution of the foreskin with ventral

deficiency. The diagnosis of hypospadias is evident on newborn examination, but in some instances of mild hypospadias such as the megameatus-intact prepuce (MIP) variant, in which the foreskin is normal, detection of hypospadias might not occur until the foreskin is retracted.