Comparison of anatomical landmarks and dimensions in a hypospadiac glans with those of a normal glans

• Main Authors: Anjan Kumar Dhua (Author), Sachit Anand (Author), Sandeep Agarwala (Author), Veereshwar Bhatnagar (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2018-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Aim of the Study: The aim of this study is to establish ventral glans length (VGL), meatus (M) size, and their ratio VGL/M (R) in normal Indian boys and to compare these with the respective equivalent dimensions in boys with distal and mid-penile hypospadias using anatomic landmarks. Methods: Normal boys were designated as Group A (n = 108), and the boys with hypospadias were designated as Group B (n = 81). The anatomical landmarks marked on the glans were measured using a digital camera and appropriate software. Results: The mean age of the boys in Groups A and B was 4.26 ± 3.59 (range 0.5-12) and 3.82 ± 2.85 (0.7-11) years, respectively. The observed mean values in Group A for VGL-A, M-A, and R-A were 3.05 ± 1.27 (range 1.19-8.09), 4.3 ± 1.23 (range 1.61-7.04), and 0.8 ± 0.45 (range 0.27-2.1) mm, respectively. The observed mean values in Group B for VGL-B, M-B, and R-B were 3.77 ± 0.81 (range 12.41-5.2), 3.27 ± 0.71 (range 2.25-5.34), and 1.17 ± 0.26 (range 0.84-1.86) mm, respectively. Comparison of R-A and R-B showed a statistically significant difference (P < 0.0001). Conclusions: The dimensions and the studied ratio between a hypospadiac glans and a normal glans differed significantly. The ratio between VGL and M was 0.8 in normal boys. In comparison, the ratio between the equivalent VGL and M in the hypospadiac boys was 1.17. During glansplasty in surgery for hypospadias, this factor should be taken into consideration to avoid the creation of long and tight ventral glans closure.

Item Description

0971-9261
1998-3891
10.4103/jiaps.JIAPS_151_17