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Is routine intravenous urography indicated in patients with hypospadias?

Hypospadias is associated with an increased incidence of "significant" urologic anomalies as compared with the general population. Most do not require immediate surgical intervention, but this information may be important in planning the long-term management of the boy, including follow-up and advice given in regard to contact sports. Ultrasonography avoids the possible hazards of intravenous urography and would seem to be the ideal screening test for detecting the urologic anomalies associated with hypospadias. Intravenous urography should be reserved for a selected group of children with hypospadias with abnormal ultrasonograms or urologic symptomatology.