Abstract
Hypospadias is an anomaly of the male urogenital tract which occurs as a result of deficient closure of the urethral groove. Hypospadias is the most commonly seen urogenital anomaly in male neonates, but it is rarely diagnosed during prenatal period. Herein, a severe hypospadias case which was diagnosed by using 2D (two-dimensional) and 3D (three-dimensional) ultrasonography at 28 weeks of pregnancy with the aid of “tulip sign” finding was presented. 2D ultrasonography of 29 year old, primigravid woman at 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 case was 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.
Highlights
Hypospadias is a congenital defect of male genitalia, which is characterized by the opening of the urinary tract on the ventral side of the penis instead of the tip
We presented a severe hypospadias case which was diagnosed by detecting “tulip sign” at 28 weeks of pregnancy by using two and three dimensional ultrasonography
Despite the fact that fetal gender determination is done almost routinely in Turkey, this is the first prenatal diagnosis of isolated hypospadias case as far as is known in the country. It is one of the few case reports about prenatal diagnosis of isolated hypospadias by using “tulip sign” finding after it was described by Meizner et al.[7]
Summary
Hypospadias is a congenital defect of male genitalia, which is characterized by the opening of the urinary tract on the ventral side of the penis instead of the tip. Prenatal diagnosis of hypospadias with other anomalies or without has been reported before.[3,4,5,6] Meizner et al presented a specific sonographic indication of severe hypospadias and termed this finding as “tulip sign”.7 We presented a severe hypospadias case which was diagnosed by detecting “tulip sign” at 28 weeks of pregnancy by using two and three dimensional ultrasonography.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
