Most common type of hypospadias?
**Core Concept**
Hypospadias is a congenital condition characterized by the abnormal location of the urethral meatus in males, often resulting in incomplete penile development and an abnormal urethral opening. This condition arises due to the incomplete fusion of the urethral folds during fetal development.
**Why the Correct Answer is Right**
The most common type of hypospadias is glandular hypospadias, where the urethral meatus is located at the glans penis. This type accounts for approximately 80% of cases and is often considered a mild form of the condition. The glandular type is characterized by the normal appearance of the penile shaft and the urethral meatus located at the tip of the glans. The glandular type is often associated with a higher success rate in surgical repair.
**Why Each Wrong Option is Incorrect**
**Option A:** **Penile hypospadias** is a less common type of hypospadias, where the urethral meatus is located along the penile shaft, but not at the tip of the glans. This type is often associated with a lower success rate in surgical repair.
**Option B:** **Perineal hypospadias** is a rare type of hypospadias, where the urethral meatus is located in the perineal area, often requiring extensive surgical repair.
**Option C:** **Scrotal hypospadias** is an extremely rare type of hypospadias, where the urethral meatus is located in the scrotum, often requiring complex surgical repair.
**Clinical Pearl / High-Yield Fact**
The glandular type of hypospadias is often associated with a higher success rate in surgical repair due to the relatively normal appearance of the penile shaft and the urethral meatus located at the tip of the glans.
**Correct Answer: C. Scrotal hypospadias is an extremely rare type of hypospadias, where the urethral meatus is located in the scrotum, often requiring complex surgical repair.