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[Clinical study of congenital heart disease accompanied by hypospadias]
Yun-Hua Lin1, Qian Xiao2, Jun-Sheng Wang3
1Department of Urology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. scalpel@163.com
Insights
Male children with congenital heart disease have a significantly higher incidence of hypospadias. The risk of hypospadias varies depending on the specific type of congenital heart disease.
Area of Science:
- Pediatric Cardiology
- Urology
- Medical Genetics
Context:
- Congenital heart disease (CHD) and hypospadias are common birth defects in male infants.
- Understanding the co-occurrence and relationship between these conditions is crucial for diagnosis and management.
Purpose:
- To investigate the incidence of hypospadias in male children with CHD.
- To analyze the correlation between specific types of CHD and the occurrence of hypospadias.
- To compare hypospadias rates in CHD patients with the general population.
Summary:
- A study of 7,385 male children with CHD found 1.81% also had hypospadias, significantly higher than the general population (0.33%-0.40%).
- Incidence rates of hypospadias were notably higher in ventricular septal defect, Fallot's tetralogy, macroangiopathy, and other CHD groups compared to atrial septal defect and patent ductus arteriosus.
- No significant differences in hypospadias type were observed across different CHD groups.
Impact:
- Hypospadias is a frequent comorbidity in male infants with CHD.
- The type of CHD influences hypospadias incidence, suggesting shared etiological factors.
- Findings aid in risk stratification and may inform future research into common pathogenic mechanisms.
Objective:
To study the concurrence of congenital heart disease and hypospadias and the relationship between the two diseases.
Methods:
We investigated the incidence and types of congenital heart disease accompanied by hypospadias in male children received in our hospital from January 2002 to December 2012, compared them with those in the general population, and analyzed the correlation of different types of heart disease with the incidence rate of hypospadias.
Results:
Of the 7 385 male children with congenital heart disease, 134 (1.81%) were found with hypospadias, with a significantly higher morbidity than in the general population (0.33% -0.40%) (P < 0.01). The incidence rates of hypospadias were significantly higher in the groups of ventricular septal defect (65/3 275, 1.98%), Fallot's tetralogy (17/770, 2.21%), macroangiopathy (15/788, 1.90%) and other congenital heart abnormalities (21/972, 2.16%) than in the atrial septal defect (10/1 015, 0.99%) and patent ductus arteriosus (6/565, 1.06%) groups (P < 0.05). There were no statistically significant differences in the type of hypospadias among different heart disease groups (P > 0.05).
Conclusion:
Hypospadias is a common concurrent condition in male children with congenital heart disease. The incidence rate of hypospadias is related with the type of congenital heart disease, and the two conditions may have some common pathogenic or susceptive factors.
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