Classifications of hypospadias (by Dr. Ahmed Hadidi)
Anatomic classification of hypospadias recognizes the level of the meatus without taking into account
curvature. A more recent classification was described. This classification indicates the site of urethral
meatus (before and after chordee correction), the prepuce (incomplete or complete), the glans (cleft,
incomplete cleft or flat), the width of urethral plate, the degree of penile rotation if present and the
presence of scrotal transposition. Using the general classification, surgeons are able
to conduct multi-centre studies to evaluate different techniques of repair.
Classification of glans configuration in hypospadias
(a) Cleft glans. There is a deep groove in the middle of the glans with proper clefting; the urethral plate is narrow and projects to the tip of the glans.
(b) Incomplete cleft glans. There is a variable degree of glans split, a shallow glanular groove and a variable degree of urethral plate projection.
(c) Flat glans. The urethral plate ends short of the glans penis, no glanular groove. There may be a variable degree of chordee, especially in proximal forms of hypospadias.