A case of distal hypospadias masquerading as Megameatus intact prepuce

Abstract

Hypospadias is an common abnormality in males which the urethral opening is ectopically located on the ventrum of the penis as far down as in the scrotum or perineum. Classic hypospadias is characterized by the triad of ventral urethra defect, absence of dorsal prepuce and chordee. A megameatus with intact prepuce (MIP) is an unusual variant of an anterior hypospadias. It is characterized by a widely splayed coronal or subcoronal meatus, a deep glanular groove, a normally conformed prepuce, and no chordee. Here, we report a case of a 23-year-old male who was diagnosed as MIP clinically but found to be a hypospadias intraoperatively.