Abstract
Hypospadias is a common malformation of male genitalia that can be defined as an insufficient development and hypoplasia of the tissues forming the ventral aspect of the penis. From clinical point hypospadias represent a large spectrum of malformations from mild distal to severe proximal forms.
Distal hypospadias are mainly a cosmetic issue only; however proximal ones have an important impact on micturation and sexual functions of penis. Treatment is surgical only.
In general, hypospadias surgery involves three main steps: straightening of the penis (i. e., correction of chordee); reconstruction of the missing urethra (i. e., urethroplasty); and reconstruction of the tissues forming the ventral radius of the penis (i. e., glans, corpus spongiosum, and skin). Surgical methods and perioperative care vary widely between different authors.
It is the result of a nonexistent generally accepted grading system of hypospadias based on rigorous biometric description, and a small number of prospective studies evaluating the long-term cosmetic and functional outcomes of treatment and impact on patients' quality of life