Accessory meatal dimple, juxtaposed urethral meatus.

The normal urinary meatus is a vertical slit-like meatus that commenced at the tip of the penis and ran ventrally. The position and size of the external urethral meatus in normal boys are consistent, with rare variation and ventral glans closure is equal to or slightly less than meatal length. These data might be of interest to hypospadiologists in their efforts to reconstruct normal glanular anatomy, and there was an age- dependent increase in meatal length and a similar association was identified for the length of ventral glans closure. There was also a statistically significant proportional relationship between meatal length and length of glans [1].

It is a common finding with different grades of hypospadias (Fig. 22.1), but many cases are reported without any other anomalies; giving more attention to such finding may encourage more reporting of such rare anomaly (Fig. 22.2).