[Clinical analysis and study of hypospadias]

We did a retrospective survey on 117 patients with hypospadias to determine what other congenital anomalies were present. We confirm the increasing incidence of chordee with severity of hypospadias. There were many other systemic anomalies associated with hypospadias. We found nongenitourinary tract malformations as follows: neuromuscular 1.7%, gastrointestinal 4.3%, cardiovascular 3.4%, ENT 0.8%, eye 0.8%. The incidence of genitourinary tract anomalies associated with hypospadias was 24.8% (undescended testis 11.1% and hernia 6.0%). Intravenous pyelography should be reserved for a selected group of children with hypospadias with abnormal ultrasonograms or urologic symptomatology. The primary therapeutic approach is surgical. Urethra-cutaneous fistula requiring additional surgery may occur following hypospadias repair in about 29.0% of cases in this paper.