Hypospadias Is Not a Meatal Diagnosis

Hypospadias is often classified by the position of the meatus. But meatal position is only the address, not the disease.This season premiere reframes hypospadias as a ventral developmental phenotype involving the glans, urethral plate, corpus spongiosum, ventral skin, curvature, scrotal anatomy, associated anomalies, and tissue quality.The central idea: the operation should not be chosen from the meatal label. It should emerge from the anatomy after degloving and curvature assessment.Keywords: hypospadias, pediatric urology, urethral plate, ventral curvature, glans size, GMS score, TIP repair.