Female Hypospadias: A Case Report

Female hypospadias is a rare congenital malformation, often underdiagnosed compared to its male counterpart. We present the case of a 4-year-old girl with a history of poorly managed heart disease, diagnosed at the age of 2 after several episodes of recurrent urinary tract infections. Abdominopelvic ultrasound revealed bilateral pyonephrosis and bilateral uretero-hydronephrosis (UHN). Clinical examination and additional investigations led to the diagnosis of female hypospadias with a common channel measuring between 1 to 15 cm in length. Treatment involved the apicalization of the urethral meatus and a meatoplasty using Hendren’s technique, followed by uncomplicated postoperative recovery. This study highlights the importance of distinguishing female hypospadias from urogenital sinus in females to optimize diagnosis and treatment. The results show that surgical correction is effective, offering good postoperative outcomes.