**Question:** True about hypospadias is all except -

A. It is a congenital anomaly affecting the penis
B. It only occurs in males
C. It is a rare condition affecting only 1 in 2000 newborn males
D. It can be corrected surgically

**Core Concept:**
Hypospadias is a congenital anomaly of the male genitalia, characterized by an abnormally positioned urethral meatus on the ventral aspect of the penis instead of the glans penis. It is a common anomaly affecting approximately 1 in 2000-3000 newborn males. The urethral meatus is the opening of the urethra, the tube through which urine and semen are expelled from the body. In hypospadias, this opening is misplaced, resulting in difficulties during urination and sexual intercourse.

**Why the Correct Answer is Right:**
A. Hypospadias is a congenital anomaly affecting the penis, which is correct, as it involves the penis and not the urethra. Each of the other options involves aspects of the urethra or urethral meatus, which are not specific to hypospadias.

B. Hypospadias only occurs in males is incorrect because it can affect both sexes; the condition can affect both males and females (known as epispadias), although it is more common in males.

C. Hypospadias is a rare condition affecting only 1 in 2000 newborn males is incorrect because it is a relatively common anomaly, affecting approximately 1 in 2000-3000 newborn males.

D. Hypospadias can be corrected surgically is correct, as it is a surgically correctable anomaly, with various surgical techniques available to re-position the urethral meatus to its normal location on the glans penis.

**Why Each Wrong Answer is Incorrect:**
A. Hypospadias affects the urethra, not the penis, making it incorrect as it is a penile anomaly.
B. Hypospadias affects males only, which is incorrect as it can occur in females as well.
C. Hypospadias is a rare condition affecting only 1 in 2000 newborn males is incorrect because it is not rare and affects approximately 1 in 2000-3000 newborn males.
D. Hypospadias is an untreatable condition is incorrect because it is a surgically correctable anomaly, as mentioned above.

**Clinical Pearls:**
1. Hypospadias is a complex congenital anomaly that can be associated with other malformations, such as undescended testes, cryptorchidism, and hypospadias complex (hypospadias, undescended testes, and hypospadias complex).
2. The severity of hypospadias can range from mild (subcoronal) to severe (penile) types.
3. Early diagnosis and intervention are important for achieving successful surgical outcomes, as the severity of the an