Abstract
Posterior hypospadias is often associated with silent lower urinary tract anomalies that may affect surgical outcomes. Therefore, it is of interest to identify bladder and posterior urethral anomalies using cystourethroscopy. This observational study included 52 children with posterior hypospadias at Dhaka Medical College Hospital over 18 months. All patients underwent preoperative cystourethroscopic evaluation. Enlarged prostatic utricle was observed in 40.3% of patients, posterior urethral valve in 11.5%, and hydrodistention of ureteric orifices in 21.2%. Secondary bladder wall changes were noted in 32.7% of patients. Preoperative cystourethroscopy is essential for detecting lower urinary tract anomalies in posterior hypospadias. It helps guide surgical planning and may reduce postoperative complications.