Hypospadias Workup

Updated: Jun 16, 2019
  • Author: John Michael Gatti, MD; Chief Editor: Marc Cendron, MD  more...
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Imaging Studies

Upper urinary tract anomalies are rarely associated with hypospadias and do not justify routine imaging in these patients unless other organ system anomalies are present. Other associated findings are more common (eg, enlarged prostatic utricle, low-grade vesicoureteral reflux [VUR]) but are of little consequence clinically unless other symptoms merit evaluation. [20]  It has been argued that prostatic utricles are an underappreciated cause of urologic morbidity and may present as penile pain with voiding, hematuria, epididymitis and urinary tract infection (UTI) and therefore should be sought with retrograde urethrography in the setting of proximal hypospadias. [21]