Analysis of meatal location in 300 boys

Abstract

The high incidence of anterior hypospadias and the consideration of someof the parents that this location is a normalvariation and the resistance tothe surgical treatment led us to investigate the normal meatal location inboys. The location of external meatus was analyzed in 300 boys. The meatallocation was classified as type A (anterior third/tip of the glans) type B(middle third) and type C (posterior third/glandular hypospadias). Of the300 boys taken into study, in 282 (94%)meatus was located at the tip of theglans in 14 patients (4.6%) on the middle third,`type B' and in 2 patients(0.6%) on the posterior third, `type C'. The present study clearlydemonstrated that the true location of urethral meatus should be at the tipof the glans. Type B is an acceptable location, which requires no operationand is seen in a very small percentage. Type C is a true glandularhypospadias and should certainly be corrected by glanuloplasty and meataladvancement.We are of the opinion that after surgery for anterior hypospadias meatalposition presenting elsewhere than at the tip of the glans should not beconsidered a successful intervention.