%0 Journal Article %T Four Cousins with Hypospadias, Is It Familial or Environmental? (Case Report) %A Mohamed Elsayed Mohamed Mohamed %A Mina Senada %A Mohamed Ahmed Hassan %A Yousef Abdalazeem %J Modern Plastic Surgery %P 59-63 %@ 2164-5280 %D 2019 %I Scientific Research Publishing %R 10.4236/mps.2019.93008 %X Hypospadias is one of the most common birth defects. However, its etiology remains largely unknown. Genetic and also intrauterine environmental factors have a principal role in causing familial hypospadias. Hypospadias repair is done through several techniques, one of which is Snodgrass technique which has many advantages. The 4 cousins underwent repair with no complications during 6 months follow up period. Methods: Urethroplasty using Snodgrass hypospadias repair of 4 cousins with positive parental consanguinity and absent family history of hypospadias. Results: 4 cousins underwent Snodgrass (Tubularized incised plate urethroplasty) with no complications after 6 months follow up. Conclusion: Although there is high heritability of hypospadias that also aggregates within second- and third-degree relatives, environmental factors may play a principal role in causing familial hypospadias. Hypospadias repair has a long learning curve. The continuous auditing should be done to improve the results. %K Hypospadias %K Familial %K Environmental %K Snodgrass Repair %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94095