Although most infants with hypospadias have a partial foreskin, some have the hypospadias hidden under a normal foreskin and so it is not found until circumcision is started, called Megameatus with Intact Prepuce Hypospadias. Previously it was recommended that circumcision be stopped when hypospadias was discovered so that the foreskin could be used in the hypospadias repair. Dr Snodgrass previously published that TIP repair does not use the foreskin and so newborn circumcision can be completed in infants with a normal-appearing penis despite the concealed hypospadias. Here Dr. Snodgrass comments on a second publication that reported the same results.
Completion of circumcision when distal hypospadias is discovered intra-procedurally and its effect on subsequent hypospadias repair