Dorsal penile curvature with megameatus intact prepuce hypospadias and “septum glandis” deficiency

Abstract

I read with great interest the article recently published in the Journal of Pediatric Urology titled “Dorsal penile curvature and megameatus intact prepuce hypospadias: A common association in a rare variant of hypospadias” [ [1] Ben-David R. Kupershmidt A. Dekalo S. Herzberg H. Mano R. Dubi-Sobol A. et al. Dorsal penile curvature and megameatus intact prepuce hypospadias: a common association in a rare variant of hypospadias. J Pediatr Urol. 2021; 18 (S1477-S5131): 213-218https://doi.org/10.1016/j.jpurol.2021.04.006 Abstract Full Text Full Text PDF Scopus (1) Google Scholar ]. The authors report on the association (19%) of the dorsal curvature with the megameatus intact prepuce (MIP) variant of hypospadias. The MIP is characterized with a subcoronal wide-mouth meatus with deep glanular groove associated with normal prepuce. Although the patients with distal [ [2] Özbey H. Devecioğlu D. Staroverov O. A closer look at iatrogenic hypospadias. Andrologia. 2021; 53e13803https://doi.org/10.1111/and.13803 Crossref PubMed Scopus (3) Google Scholar ] and mid-shaft [ [1] Ben-David R. Kupershmidt A. Dekalo S. Herzberg H. Mano R. Dubi-Sobol A. et al. Dorsal penile curvature and megameatus intact prepuce hypospadias: a common association in a rare variant of hypospadias. J Pediatr Urol. 2021; 18 (S1477-S5131): 213-218https://doi.org/10.1016/j.jpurol.2021.04.006 Abstract Full Text Full Text PDF Scopus (1) Google Scholar ] hypospadias were included in the study, I congratulate the authors on their important observation, which can be explained by the ligamentous structural forces between the corporal bodies and the glans that increase the stability of the glans.