Severe hypospadias with aphallia - Case of confused sex

Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus .Instead of opening at the tip of the glans penis , a hypospadiac urethra opens anywhere along a line running from the tip along the ventral aspect of the shaft to the junction of the penis and scrotum or perineum. Aphallia is the penile agenesis is a very rare genitourinary anomaly that has profound surgical and psychosocial implications. Penile agenesis cases have 46,XY karyotype .Early assignment of female gender and feminizing reconstruction of the perineum is the goal treatment in cases of Aphallia. Disorders such as severe hypospadias presenting ambiguous genitalia have serious and potentially life long consequences for affected individuals and, depending on the underlying cause ,are likely to entail surgery in childhood and in later life ,psychosocial and psychosexual support and possible fertility treatment including assisted conception. Genetic males with severe hypospadias who will wrongly bring up as females has to be reassigned as males .These disorders results partial or complete failure of the fusion of urethral groove and failure of the development of genital tubercle.