How to judge whether the child is hypospadias?
① In fact, the most obvious feature of hypospadias is that the child's urethral orifice is not in the center of the top, but near the "bottom", from a slightly lower place to the body, all the way to the testicles, and even to any point below the anus.
Therefore, if the boy can't see the urethral orifice in the normal position, parents can lift it in the direction of the stomach and carefully observe whether there is an opening from this straight line. If urine can be seen flowing out of the opening, the position of the opening can be determined.
The second feature is that the penis bends towards the scrotum, as if it were "hung" by something.
When observing, it is best to look from the side. The best observation time is usually when the child is still awake in the morning, or when he has held back a lot of urine and started to urinate.
③ The characteristic manifestation is abnormal distribution of foreskin.
Most boys are phimosis within 1-2 years after birth, in other words, it is difficult to see the urethral orifice of the child.
However, the foreskin of children with hypospadias is incomplete, so it can be observed that the foreskin separates backwards from birth and accumulates into a hat shape at the back, which is called "foreskin hat accumulation".
Generally, typical hypospadias will have the above three characteristics, but some atypical hypospadias only have one or two of them.
It should be noted that the foreskin of some children with hypospadias is intact, and the urethral orifice will be wrapped by the foreskin, which is difficult to observe. Parents will mistake it for "phimosis" until the foreskin is separated in adolescence.