“…Currently, the time trends of hypospadias prevalence in other countries worldwide are not consistent. Australia (Nassar et al, 2007), Denmark (Lund et al, 2009), and the United Kingdom (Abdullah et al, 2007a) have reported increasing trends in hypospadias prevalence, whereas Japan (Kurahashi et al, 2004), Scotland (Ahmed et al, 2004), and the U.S. states of New York (Fisch et al, 2009), Washington (Porter et al, 2005), and California (Carmichael et al, 2003) have reported no significant increases. In addition, regional differences in hypospadias prevalences have been reported; for example, a spatial clustering of hypospadias prevalences was found in northern England (Abdullah et al, 2007a).…”