Prenatal Diagnosis of Hypospadias
Doctors suspect hypospadias during pregnancy through ultrasound scans. In a study of 32 scans, 25 appear to have hypospadias, of which 18 have the condition confirmed after birth. However, routine ultrasound does not entail checking of such conditions, that is why a Congenital anomaly scan is advised at 24-28 weeks of gestation.
Doctors often suspect hypospadias when they see a “blunt tip” appearance of the penis. Normally, in scans, the penile tip is pointed. Other findings associated with hypospadias found in ultrasound scans are as follows:
- Ventral shortening and curvature of the penis. This usually represents chordee, a condition where the penis is bent when erected.
- Buried appearance of the penis, which means the penis is significantly shortened.
- Tulip sign, which usually signifies severe case of hypospadias. Tulip sign occurs when there is a transposition of the penosacral area and the penis is curved and found in between the scrotum fold.
- There is deflection in the baby’s urine stream inside the womb.
Pregnancy and Delivery Management
Should a doctor suspect hypospadias in your baby, what can you expect with regards to pregnancy and delivery management?