A newborn boy is diagnosed with distal hypospadias with a ventral meatus and mild chordee. Which procedure should be strictly avoided at birth?

• A Routine neonatal circumcision ✓
• B Prophylactic antibiotic cover for the first week
• C Ultrasound screening of the upper urinary tract
• D Karyotyping in the presence of associated cryptorchidism

Explanation

The preputial skin is used as a flap or graft material during hypospadias repair, so circumcision must be avoided until the reconstruction is complete. Definitive repair is planned between 6 and 18 months of age. Karyotyping is appropriate when hypospadias coexists with undescended testis because of the risk of disorders of sexual development, and upper tract imaging is reasonable given the association with other anomalies.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.