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Article
December 2, 1905

IMPROVED OPERATION FOR HYPOSPADIAS INVOLVING THE GLANS AND PENILE PORTION OF THE URETHRA.

JAMA. 1905;XLV(23):1726-1730. doi:10.1001/jama.1905.52510230026001f

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Abstract

Hypospadias is a condition due to want of fusion of the lips of the urogenital sinus which go to form the urethra and varies in degree from an unduly large meatus to a completely cleft urethra. This deformity, unlike the somewhat similar condition of epispadias, never extends into the bladder, and incontinence of urine is, therefore, not one of its complications.

In hypospadias affecting the glans the inconvenience may be so slight as to be almost unnoticeable, but it increases the further back the cleft extends. There are two troubles in connection with hypospadias: In the first place the urethral opening is always unduly narrow, sometimes extremely so, and there is, therefore, a certain amount of back pressure from which serious results may follow. The second trouble is that the penis is always curved downward when the cleft in the urethra extends any distance back, and this incurvation is greater

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