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Patient case: Hypospadias

Discussion

A 1-month-old boy is brought to the pediatric clinic for a routine check-up. During the examination, the pediatrician notices that the child’s urethral opening is located on the underside of the penis rather than at the tip of the glans. The opening is positioned more proximally, closer to the scrotum, suggesting a diagnosis of hypospadias, a congenital condition where the urethral opening is abnormally placed.

The parents report that they did not notice anything unusual at birth but became concerned after the pediatrician pointed out the abnormal positioning of the urethra. The baby is otherwise healthy, feeding well, and has no signs of discomfort or urinary issues.

A referral to a pediatric urologist is made for further evaluation and discussion of potential surgical repair options. The parents are counseled about the condition, which may require one or more surgeries to reposition the urethral opening to a more typical location. The long-term outlook for the child is generally good, with normal development and function expected following successful surgical intervention.

The family is educated on the condition and the importance of early intervention to achieve the best possible outcome. Follow-up appointments are scheduled to monitor the baby’s progress and plan for surgery if needed.

Questions
1. What was the primary finding that led to the diagnosis of hypospadias in this infant?

A) Abnormal penile size

B) Urethral opening located on the underside of the penis

C) Abnormal genitalia

D) Inability to urinate

2. At what age was the condition of hypospadias identified in this patient?

A) At birth

B) 1 month

C) 6 months

D) 1 year

3. What is the recommended treatment for hypospadias in this patient?

A) Immediate surgical repair to reposition the urethral opening

B) Observation without intervention

C) Antibiotics to prevent infection

D) Hormonal therapy

4. What is the long-term prognosis for a child with successfully repaired hypospadias?

A) Chronic urinary problems

B) Normal development and function following surgery

C) Inability to achieve normal urinary control

D) Lifelong need for medical management

Reveal answers

Answers

1. B

2. B

3. A

4. B