ANALYSIS OF MEATAL LOCATION IN 500 MEN - WIDE VARIATION QUESTIONS NEED FOR MEATAL ADVANCEMENT IN ALL PEDIATRIC ANTERIOR HYPOSPADIES CASES

The high incidence (70%) of anterior hypospadias, mostly without penil e curvature, in our pediatric hypospadias patients led us to study the meatal location in normal adults. The location of the external meatus was analyzed in 500 adults (mean age: 57) with classification of the meatal position in relation to the tip of the glans and corona. Qualit y of erections and sexual intercourse, presence or absence of penile c urvature, urinary stream and ability to void in a standing position we re assessed in an interview. Among the investigated 500 adults only 55 % (275) were normal, with the meatus in the distal 1/3 the glans, whil e 65 (13%) asymptomatic anterior hypospadias (glanular: 49, coronal: 1 5, subcoronal: 1) were observed. 32% (160) showed a position of the ur ethral meatus in the midthird of the glans. These observations appear to question the need for meatal advancement in anterior hypospadias wi thout associated penile curvature.