Objective: Hypospadias is a common genitourinary system (GUS) anomaly in boys occurring in 1 of 200 to 300
live births. Undescended testes is frequently detected among accompanying anomalies in cases with hypospadias.
Especially in proximal hypospadias and bilateral cases, this association may indicate sexual differentiation disorders. The
aim of the study was to evaluate the togetherness of additional anomalies in hypospadiac children with undescended
Material and Methods: Between 2007 and 2016, data of 392 children who underwent surgery for hypospadias were
evaluated retrospectively. Urethral meatus was present at scrotal and penoscrotal in 65 cases (16.6%) and glanular,
coronal, subcoronal and midpenile in 327 cases (83.4%). The cases were divided into two groups as those with both
testes in the scrotum and those with undescended testes, and the anomalies were recorded.
Results: The mean age of the children with proximal hypospadias was 21 months (6-240 months). Of the children
with proximal hypospadias, 26 (40%) had undescended testes and 39 (60%) had testes in the scrotum. Undescended
testes were detected bilaterally in 17 patients (65.4%) and unilaterally in nine patients (34.6%) in the undescended
testes group. In the undescended testes group, 24 patients (92.3%) had suspected external genitalia (bifid scrotum,
penoscrotal transposition, togetherness of micropenis and penoscrotal hypospadias, scrotalized labium majus) on
physical examination. In the undescended testes group, three patients (11.5%) had additional urinary pathology and
ten patients (38.5%) had other system anomalies. Ten patients (25.5%) had suspicious external genitalia on physical
examination in the proximal hypospadias group who had both testes in scrotum. Additional urinary pathology was
detected in one patient (2.5%) while other system anomalies were detected in five (12.8%) patients.
The mean age of children with distal hypospadias was 33 months (6-156 months). Nine of 327 children with distal
hypospadias (2.8%) had undescended testes. Of these, five were bilateral (55.6%) and 4 had unilateral undescended
testes (44.4%). None of the patients with distal hypospadias had any suspicious genitalia on physical examination. In
the undescended testes group, one patient (11.1%) had additional urinary pathology and one patient had other system
anomaly. Seven patients (2.2%) who had both testes in scrotum had additional urinary pathology and 32 patients (9.8%)
had other system anomalies.
Conclusion: According to our results, further tests such as genitourinary ultrasonography, pelvic MRI if necessary,
endocrine and genetic evaluation should be considered in cases where the proximal hypospadias is accompanied by
an undescended testicle, and detailed anamnesis and physical examination covering all systems is necessary in all
hypospadiac children in terms of additional anomalies.
|Konular||Genel ve Dahili Tıp|
|Dergi Bölümü||ÖZGÜN ARAŞTIRMALAR|
|APA||EKBERLİ, G . (2018). Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes. Türkiye Çocuk Hastalıkları Dergisi, (), 1-5. DOI: 10.12956/tjpd.2018.361|
|MLA||EKBERLİ, G . "Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes". Türkiye Çocuk Hastalıkları Dergisi (2018): 1-5 <http://dergipark.gov.tr/tchd/issue/43771/538186>|
|Chicago||EKBERLİ, G . "Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes". Türkiye Çocuk Hastalıkları Dergisi (2018): 1-5|
|RIS||TY - JOUR T1 - Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes AU - Günay EKBERLİ Y1 - 2018 PY - 2018 N1 - doi: 10.12956/tjpd.2018.361 DO - 10.12956/tjpd.2018.361 T2 - Türkiye Çocuk Hastalıkları Dergisi JF - Journal JO - JOR SP - 1 EP - 5 VL - IS - SN - 1307-4490-2148-3566 M3 - doi: 10.12956/tjpd.2018.361 UR - http://dx.doi.org/10.12956/tjpd.2018.361 Y2 - 2018 ER -|
|EndNote||%0 Türkiye Çocuk Hastalıkları Dergisi Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes %A Günay EKBERLİ %T Evaluation of Additional Anomalies in Concomitance of Hypospadias and Undescended Testes %D 2018 %J Türkiye Çocuk Hastalıkları Dergisi %P 1307-4490-2148-3566 %V %N %R doi: 10.12956/tjpd.2018.361 %U 10.12956/tjpd.2018.361|
|ISNAD||EKBERLİ, Günay . "Hipospadias ve İnmemiş Testis Birlikteliğinde Ek Anomali Sıklığının Değerlendirilmesi". Türkiye Çocuk Hastalıkları Dergisi / (Haziran 2018): 1-5. http://dx.doi.org/10.12956/tjpd.2018.361|