Penile Length in Hypospadias

Objective: We compared the stretched penile length (SPL) in hypospadias with SPL-for-age nomogram and studied the penile growth after chordee correction in proximal hypospadias. Methods: It was a cross-sectional study from April to September 2013. Hundred pre-operative hypospadias patients upto 10 years age underwent SPL measurement for comparison with nomogram. Hypospadias severity was recorded. Thirty patients upto 10 years age, and beyond two years post-chordeecorrection were included. Fifteen patients, 8-10 year old and beyond two years post-chordee-correction, were categorized by age at chordee correction (< 2 years, 2-5 years and > 5 years). Their SPLs were recorded. Results: SPL was within normal range for age irrespective of hypospadias severity. Beyond 2 years age, penile growth was retarded in proximal hypospadias with chordee. A catch-up penile growth 2 years after chordee correction was observed. At 8-10 years age, the proximal hypospadias patients who underwent chordee correction at < 2 years age had longer SPL than those corrected at > 2 years age (p = 0.019). Conclusions: SPL is within normal range for age irrespective of hypospadias severity. Beyond 2 years age, penile growth is retarded in proximal hypospadias. Catch-up penile growth may occur after chordee correction. Chordee correction before 2 years age may improve penile growth in proximal hypospadias.