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Item Type Journal Article
Title Family History is Underestimated in Children with Isolated Hypospadias: A French Multicenter Report of 88 Families
Creator Ollivier et al.
Author Margot Ollivier
Author Pascal Philibert
Author Sarah Garnier
Author Amandine Coffy
Author Nadège Fauconnet-Servant
Author Mirna Haddad
Author Jean Michel Guys
Author Rachel Reynaud
Author Alice Faure
Author Thierry Merrot
Author Kathy Wagner
Author Jean Bréaud
Author Jean Stéphane Valla
Author Eric Dobremez
Author Laura Gaspari
Author Jean-Pierre Daures
Author Charles Sultan
Author Nicolas Kalfa
Abstract PURPOSE: While familial forms of complex disorders/differences of sex development have been widely reported, data regarding isolated hypospadias are sparse and a family history is thought to be less frequent. We aimed to determine the frequency of hypospadias in families of boys with hypospadias, to establish whether these familial forms exhibit a particular phenotype and to evaluate the prevalence of genetic defects of the main candidate genes. MATERIALS AND METHODS: A total of 395 boys with hypospadias were prospectively screened for a family history with a standardized questionnaire, extensive clinical description, family tree and sequencing of AR, SF1, SRD5A2 and MAMLD1. RESULTS: Family history of hypospadias was more frequent than expected (88 patients, 22.3%). In 17 instances (19.3%) familial hypospadias cases were multiple. Familial hypospadias was related to the paternal side in 59.1% of cases, consisting of the father himself (30.7%) as well as paternal uncles and cousins. Premature birth, assisted reproductive techniques, other congenital abnormalities and growth retardation were not more frequent in familial hypospadias than in sporadic cases. The severity of phenotype was similar in both groups. The results of genetic analysis combined with previous data on androgen receptor sequencing revealed that familial cases more frequently tend to demonstrate genetic defects than sporadic cases (5.68% vs 1.63%, p = 0.048). CONCLUSIONS: Familial forms of hypospadias are far more frequent than previously reported. Even minor and isolated forms justify a full clinical investigation of the family history. Detecting these hereditary forms may help to determine the underlying genetic defects, and may improve followup and counseling of these patients.
Publication The Journal of Urology
Volume 200
Issue 4
Pages 890-894
Date 10 2018
Journal Abbr J. Urol.
Language eng
DOI 10.1016/j.juro.2018.04.072
ISSN 1527-3792
Short Title Family History is Underestimated in Children with Isolated Hypospadias
Library Catalog PubMed
Extra PMID: 29723568
Tags 3-Oxo-5-alpha-Steroid 4-Dehydrogenase, causality, Child, Preschool, clinic, Follow-Up Studies, Genetic Predisposition to Disease, genetics, Humans, Hypospadias, Incidence, Infant, Male, Mass Screening, Pedigree, Prospective Studies, Receptors, Androgen
Date Added 2019/05/16 - 15:10:52
Date Modified 2021/09/01 - 16:52:22
Notes and Attachments PubMed entry (Attachment)
PubMed entry (Attachment)


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