Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of hypospadias. Meatal location noted at [distal/midshaft/proximal/perineal] position. Associated findings include [ventral curvature/chordee/hooded prepuce]. No history of urinary tract infection or voiding dysfunction reported. Family history of hypospadias is [positive/negative].
Clinical Examination Findings
Genitourinary exam: Phallus length [normal/micropenis]. Meatus located at [location]. Ventral curvature noted upon artificial erection test [degree]. Prepuce is [hooded/absent ventrally]. Testes are [descended/undescended] bilaterally. No inguinal hernia detected.
Treatment Protocol
Recommended surgical intervention: [Urethroplasty/TIP repair/Onlay flap/Two-stage repair]. Procedure involves correction of chordee, meatoplasty, and urethroplasty. Post-operative plan includes urinary diversion via [stent/catheter] for [number] days and prophylactic antibiotics.