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. Author manuscript; available in PMC: 2014 Dec 3.
Published in final edited form as: J Pediatr Urol. 2014 Feb 24;10(4):672–679. doi: 10.1016/j.jpurol.2014.01.024
Urethral meatus location pretest
Meatus image Gold standarda Normal
Possible hypospadias (severity increases from B to E)
A B C D E
Image 1 C 0 1 25 0 0
Image 2 D 0 1 6 19 0
Image 3 B 0 20 6 0 0
Image 4 E 0 0 0 0 26
Image 5 A 26 0 0 0 0
Image 6 D 0 0 6 26 0
Image 7 D 0 1 4 21 0

Foreskin/Penile appearance pretest
Appearance image Gold Standarda Circumcised Uncircumcised Hypospadias

Image 1 Hypospadias 0 1 25
Image 2 Uncircumcised 0 26 0
Image 3 Hypospadias 0 0 26
Image 4 Circumcised 26 0 0
Image 5 Hypospadias 4 2 20

Penile curvature pretest
Curvature image Gold Standarda 1 2 3 4 5

Image 1 4 0 0 0 12 14
Image 2 4 0 0 4 20 2
Image 3 2 0 25 1 0 0
Image 4 1 26 0 0 0 0
Image 5 5 0 0 0 1 25
a

Gold Standard = consensus opinion of 2 pediatric urologists.