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.

Severity of hypospadias increases progressively with the distance of the ectopic urethral meatus from the coronal margin. Figures A through D depict standard hypospadias, and figures E and F depict severe hypospadias.

(A, B, C) Urethral meatus on the distal penile shaft.

(D) Urethral meatus on the mid-penile shaft.

(E) Urethral meatus on the scrotum.