Prenatal diagnosis of hypospadias and relevant literature has been reviewed.
📌 3 Key Takeaways
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Objective & Hypothesis:Hypospadias is an anomaly of the male urogenital tract which occurs as a result of deficient closure ofthe urethral groove.
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Key Findings & Data:Herein, a severe hypospadias case which was diagnosedby using 2D (two-dimensional) and 3D (three-dimensional) ultrasonography at 28 weeks of pregnancywith the aid of "tulip sign" finding was presented. 2D ultrasonography of 29 year old, primigravid womanat 28 weeks of gestation revealed an incurved, short penis with blunt tip located between the two scrotal folds and there was no additional anomaly.
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Conclusion & Impact:Prenatal diagnosis of hypospadias and relevant literature has been reviewed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Hypospadias is an anomaly of the male urogenital tract which occurs as a result of deficient closure ofthe urethral groove. Hypospadias is the most commonly seen urogenital anomaly in male neonates, butit is rarely diagnosed during prenatal period. Herein, a severe hypospadias case which was diagnosedby using 2D (two-dimensional) and 3D (three-dimensional) ultrasonography at 28 weeks of pregnancywith the aid of "tulip sign" finding was presented. 2D ultrasonography of 29 year old, primigravid womanat 28 weeks of gestation revealed an incurved, short penis with blunt tip located between the two scrotal folds and there was no additional anomaly. Findings were compatible with the "tulip sign" and casewas diagnosed as isolated hypospadias. Isolated hypospadias was confirmed after delivery and surgical correction was planned. Prenatal diagnosis of hypospadias and relevant literature has been reviewed.
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Cite This Article
GÜREL, S. A. (2016). Prenatal Diagnosis of Isolated Hypospadias by Using "Tulip Sign" with Two and Three-Dimensional Ultrasonography. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 22 - Sayı: 1, 54–56. https://ajindex.com/articles/193462
Andersen B, Mitchell M. Recent advances in hypospadias: current surgical technique and research in incidence and etiology. Curr Urol Rep 2001;2:122-6.
Fujimoto T, Suwa T, Kabe K, Adachi T, Nakabayashi M, Amamiya T. Placental insufficiency in early gestation is as- sociated with hypospadias. J Pediatr Surg 2008;43:358-61.
Aslan H, Karaca N, Basaran S, Ermis H, Ceylan Y. Prena - tal diagnosis of Wolf-Hirschhorn syndrome (4p-) in asso- ciation with congenital hypospadias and foot deformity. BMC Pregnancy and Childbirth 2003;3:1-6.
Tonni G, Centini G, Bonasoni MP, Ventura A, Pattacini P, Cavalli P. Acrania-anencephaly associated with hypospa- dias. Prenatal ultrasound and MRI diagnosis and molecu- lar folate metabolism pathway analysis. Fetal Pediatr Pathol 2012;31:379-87.
Sides D, Goldstein RB, Baskin L, Kleiner BC. Prenatal di- agnosis of hypospadias. J Ultrasound Med 1996;15:741-6.
Devesa R, Muñoz A, Torrents M, Comas C, Carrera JM. Prenatal diagnosis of isolated hypospadias. Prenat Diagn 1998;18:779-88.
Meizner I, Mashiach R, Shalev J, Efrat Z, Feldberg D. The 'tulip sign": a sonographic clue for in-utero diagnosis of severe hypospadias. Ultrasound Obstet Gynecol 2002; 19:250-3.
Welch KJ. Hypospadias. In Ravitch MM, Welch KJ, Benson CD, eds. Pediatric Surgery, 3 edn. Chicago: Year Book Medical Publishers 1979;1353-76.
Roberts CJ, Lloyd S. Observations on the epidemiology of simple hypospadias. BMJ 1973;1:765. Cerasaro TS, Brock WA, Kaplan GW. Upper urinary tract anomalies associated with congenital hypospadias: is screening necessary? J Urol 1986;135:537-42. Sepulveda W. Prenatal 3-Dimensional Sonographic Depiction of the Wolf-Hirschhorn Phenotype. The "Greek Warrior Helmet" and "Tulip" Signs. J Ultrasound Med 2007;26:407-10.
Tajima H, Itoh H, Mochizuki A, et al. Case of polyhy- dramnios complicated by Opitz G/BBB syndrome. J Obstet Gynaecol Res 2010;36:876-81.
Smulian JC, Scorza WE, Guzman ER, Ranzini AC, Vintzileos AM. Prenatal sonographic diagnosis of mid shaft hypospadias. Prenat Diagn 1996;16:276-80.
Rios LT, Araujo Jşnior E, Nardozza LM, et al. Prenatal di- agnosis of penoscrotal hypospadia in third trimester by two- and three-dimensional ultrasonography: a case re- port. Case Rep Urol 2012;2012:142814.