In a child with hypospadias if the urethral meatus is situated at shaft, it is known as:

IGNOU PB Bsc Entrance-2023

Child Health Nursing (Pediatrics)

Easy

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

Penile hypospadias is the specific term used when the urethral opening is located anywhere along the ventral (under) surface of the penile shaft.
This classification directly corresponds to the condition described in the question, where the meatus is situated at the shaft.
Hypospadias is a congenital anomaly where the urethra does not open at its normal position at the tip of the glans penis.

Option A: In glandular hypospadias, the meatus is located on the glans (head) of the penis, which is more distal than the shaft.
Option B: In penoscrotal hypospadias, the meatus is located at the junction where the penis and scrotum meet, which is more proximal than the shaft.
Option C: In perineal hypospadias, the meatus is located in the perineum (the area between the scrotum and anus), which is the most severe and proximal form.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of hypospadias based on urethral meatus location as background academic context rather than a clinical decision trigger.
A crucial nursing responsibility is to advise parents that circumcision must be delayed in newborns with hypospadias, as the foreskin is often essential for the surgical repair (urethroplasty).
Post-operative care focuses on maintaining the patency of the urinary stent or catheter, monitoring for signs of infection (redness, swelling, discharge), managing pain, and educating parents on proper wound care and activity restrictions (e.g., avoiding straddle toys).
What if? If a newborn with undiagnosed hypospadias is circumcised, the surgical repair becomes significantly more complex. The surgeon loses the primary tissue source for reconstruction (the foreskin) and may need to use skin grafts from other body sites, increasing morbidity and potentially leading to a multi-stage repair.

How to Approach the Question

First, identify the key terms in the question: 'hypospadias,' 'urethral meatus,' and the specific location 'shaft'.
The question is asking for the correct medical term for this specific anatomical presentation.
Recall the anatomical classification system for hypospadias, which is based on the position of the urethral meatus.
Systematically evaluate each option against the location 'shaft': 'Glandular' refers to the glans, 'Penoscrotal' to the penis-scrotum junction, and 'Perineal' to the perineum.
Conclude that 'Penile' hypospadias is the term that correctly describes an opening on the penile shaft, making it the right answer.

Concept Tested & Keywords

Concept Tested: Classification of hypospadias based on urethral meatus location.
Stem keywords: hypospadias, urethral meatus, shaft
Lead-in keywords: known as
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Negative lead-in flag: false

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E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 1100-1102