IntroductionMegameatus intact prepuce (MIP) is a unique entity of the hypospadias occurring at the rate of ~1/10.000 and accounting for the 1-3% of the hypospadias incidences [1, 2]. The true incidence is unknown because a number of patients with MIP may not have been identified or because the urethral anomaly is considered clinically insignificant. The etiology of MIP has not been clearly understood yet, but environmental, genetic, and endocrine factors may be implicated [2, 3]. Currently MIP reporting is increasing due to frequent health checkups.