ESPU Congress 2018 - Abstract Book

CONGRESS OF THE ESPU

CONCLUSIONS

In the study population, SBD, AGD and penile length were reduced in boys with hypospadias or

cryptorchidism relative to normative data derived from a longitudinal birth cohort. The findings sup-

port the use of SBD as a quantitative biomarker to examine the prenatal effects of exposure to

endocrine disruptors on the development of the male genitals.

10:58–11:01

S7-3 (PP)

EXTERNAL URETHRAL MEATUS

IN BOYS: WHAT IS NORMAL? AND IMPLICATIONS

FOR HYPOSPADIAS REPAIR

Tariq Osman ABBAS

, Dr Mansour ALI

and Abdelrahman ELKADHI

1) Hamad General Hospital, Pediatric Surgery, Doha, QATAR - 2) Hamad Medical Corporation, Pediatric Surgery

Department, Doha, QATAR

PURPOSE

To investigate the normal external urethral meatal anatomy in boys, and to examine the proportional

relationship between meatal size and length of ventral glans closure.

MATERIAL AND METHODS

In all, 103 boys with presumed normal penile anatomy enrolled during ritual circumcision were

considered eligible for the study; 9 were not assessed because either the boy or parents declined to

participate, leaving 94 boys (mean age 5.9 years, range 0.6–13) who completed the study. Meatal

length and ventral glans closure measured using ophthalmic calipers.

RESULTS

All 94 boys in the study had a vertical slit-like meatus that commenced at the tip of the penis and ran

ventrally. The mean (SD) vertical meatal length was 5.3 (1) mm and the mean length of ventral glans

closure was 4.8 (1.1) mm. There was an age-dependent increase in meatal length and a similar

association was identified for the length of ventral glans closure. There was also a statistically

significant proportional relationship between meatal length and length of glans closure (r = 0.36,

confidence interval 0.14–0.54, P < 0.001).

CONCLUSIONS

The location and length of the urethral meatus in normal boys is consistent, and ventral glans

closure is equal to or slightly less than meatal length. These data might be of interest to hypospadi-

ologists in their efforts to reconstruct normal glanular anatomy.