Degrees of hypospadias

Composite of cases demonstrating increasing severity of hypospadias. A through D show standard hypospadias, and E through F show severe hypospadias. The risk of differences of sex development is increased for cases of severe hypospadias and isolated standard hypospadias accompanied by micropenis and/or cryptorchidism (unilateral or bilateral). Refer to UpToDate content on evaluation and management of hypospadias.

Note the progressive severity of the location of the ectopic urethral meatus from coronal margin.

(A, B, C) Distal penile shaft.

(D) Mid-penile shaft.

(E) Scrotum.