Elsevier

The Lancet

Volume 351, Issue 9105, 14 March 1998, Page 770
The Lancet

Commentary
Rise in prevalence of hypospadias

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    Citation Excerpt :

    These rising trends, however, may reflect earlier diagnosis or an increase in reporting to registries of congenital defects. The increased reporting of more proximal than distal hypospadias cases, however, refutes the argument that these findings represent more frequent reporting of minor cases, and changes in the environment affecting maternal ingestion such as various endocrine disruptors may also play a role.29 Evaluation of hypospadias requires an understanding that the abnormal dorsal prepuce and ventral glans tilt often herald the presence of a hypospadias if close examination is performed.

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