 Hi, my name is Dr. Radhakrishnan. I am a pediatric surgeon and a pediatric urologist and I work at the Manipal Hospital in Bangalore. Hypospedias is always diagnosed on a physical examination. It is therefore very important to do a good physical examination of the newborn so that these conditions are not missed. Generally speaking, although hypospedias itself is diagnosed on physical examination, as I had mentioned earlier, there are certain other conditions associated with hypospedias for which one may need to do further imaging studies.