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Doctor insights on: Medicine For Hypospadias

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What is hypospadias?

What is hypospadias?

Opening underneath: Urethral opening is not at the end of the penis. Can be located anywhere underneath from under the glans, all way back to the anus. Not far back is most common. Commonly asociated with chordee (penis bent downward). Foreskin is "hooded", i.e. Missing on underside of penis. Incidence 1 in 2 - 300 males. Penis often smaller than normal. Very severe cases sometimes considered ambiguous genitalia. ...Read more

Dr. Andrew Seibert
30 Doctors shared insights

Hypospadias (Definition)

An abnormality where the urethral meatus (urinary opening) is located on ...Read more


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What are hypospadias?

What are hypospadias?

Birth anomaly: Urinary opening (meatus) located on underside of penis, anywhere from just under the head of penis (mildest)) all the way to rectum (most severe) and anywhere in-between. Most frequently associated with downward bend (chordee) plus a so called "hooded" foreskin present on top & laking underneath, scrotal hypospadias associated with a bifid scrotum. Often smaller than normal. More details on google ...Read more

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What is done for hypospadias?

What is done for hypospadias?

Hypospadias repair: Pediatric urologists have most experience with this kind of surgery. Repair depends upon location of urinary opening & degree of chide (downward curvature). Distal hypospadias can be corrected with single operation. More extensive hypospadias ay require 2 stage repair with 4 - 6 months between stages. ...Read more

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Is hypospadias always passed on to your sons?

Is hypospadias always passed on to your sons?

15%: The overall risk of hypospadias recurring in a child of a man with hypospadias is roughly 15%. Thus, as dr mesrioban notes it is a rare occurrence. Yet, as dr. Klauber pointed out, this is still 15-30 times the risk of the general population! I guess it depends on who is managing the "spin.". ...Read more

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I have a son with hypospadias. What is his prognosis?

I have a son with hypospadias. What is his prognosis?

Hypospadius: The "severity" of hypospadius is largely related to the position of the urethral opening. Some require no repair, while the most severe forms may require multiple surgeries. In the proper urologic hands, the majority of these boys do very well and suffer no long term consequences once repaired. ...Read more

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What is the definition or description of: hypospadias?

Penile birth defect: Hypospadias is an abnormality where the urethral meatus (urinary opening) is located on underside of the penis. Location can be anywhere in mid-line from underside of glans (most common), along shaft, scrotum or perineum. Foreskin is always hooded & incomplete if meatus at or proximal to coronal sulcus. Chordee, ventral curvature, commonly present & always if meatus is very proximal. ...Read more

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My bf was having hypospadias as a child. Can we still have children?

My bf was having hypospadias as a child. Can we still have children?

Yes: Hypospadias is a congenital defect where the opening of the urethra is at the bottom, rather than tip of head of penis. There is no association with infertility unless he had the misfortune of having an undescended testis (in 10% of boys with hypospadias)that is not functioning (doubtful if he is active and healthy). The biggest issue is the stream of urination & perhaps chordee-ventral curve. ...Read more

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Does anyone know, after hypospadias procedures1st opt, 2nd opt, 3rd opt?

Does anyone know, after hypospadias procedures1st opt, 2nd opt, 3rd opt?

Usually 1 or 2 stage: Operation depending upon severity of hypospadias. 3rd or 4th operation might be required in case of complications. Would suggest second opinion from an experienced pediatric urologist if problem hasn't been fixed after 3 operations. Would not be criticising original surgeon, but an other opinion could be reassuring for you. ...Read more

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I am 54 have hypospadias us it worth getting fixed and does insurance cover it?

I am 54 have hypospadias us it worth getting fixed and does insurance cover it?

You decide...: First, I would like to applaud your coping ability over those 54 years in holding and directing urine flow; sure, you become master to live through reality. Now, is it necessary to fix it? At 54, it is more optional than essential. To finalize decision, you have to balance between medical necessity & professional possibility. So, seek doc or contact www. HealthTap. Com/dr-Lin with RQPWJC to login. ...Read more

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I learned today that I have a slight case of distal hypospadias. What does this mean and what should I do?

I learned today that I have a slight case of distal hypospadias. What does this mean and what should I do?

? Treatment necessary: Many mild cases of hypospadias, especially those diagnosed later in life require no treatment, i.e. If urination and sex are both satisfactory, and male has already had children. If in doubt see a pediatric or reconstructive urologist. Yes, hypospadias in adults is usually managed by pediatric urologists. ...Read more

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What is glanular hypospadias and how is it treated?

What is glanular hypospadias and how is it treated?

Meatus under glans: Urinary opening is on underside of glans penis beyond the coronal sulcus (groove around base of glans). 1)does not require surgical correction as regards penile functions of urination or sex unless there is meatal stenosis (very small urinary opening) or chordee (curvature) present. 2) magpi hypospadias repair can provide excellent functional & cosmetic correction. ...Read more

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Willhaving/had hypospadias complicate a vasectomy?

Willhaving/had hypospadias complicate a vasectomy?

No it won't: Hypospadias surgery is performed on the penis & vasectomy surgery is in the scrotum. Good luck ...Read more

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What is done during hypospadias repair?

What is done during hypospadias repair?

Create normal penis: We try to repair in single stage, unless very severe with urinary opening at the scrotum & 2 stage repair is performed. Penis is straightened & urinary opening is advanced to tip of glans if possible.Penile shaft skin is dissected down to base to straighten, graft maybe required for severe chordee, or dorsal plication. Urethra constructed from skin flaps or buccal graft. Stent or catheter for urine. ...Read more

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I have hypospadias is that possible to married?

By all means: Most men with hypospadias can function normally in marriage. Would consult urologist if your penis is significantly bent with erection or urinary opening (Meatus) is further back than coronal sulcus (groove at base of head of penis). These problems can be corrected surgically. ...Read more

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What can you expect from post hypospadias surgery?

What can you expect from post hypospadias surgery?

Straight penis with: Urinary opening at or close to tip of gnas. In fact, ideally penis should look normal after after operative swelling has settled down. Subect should be able to urinate with a full and forceful stream. Hopefully avoids having either a urethral stricure, fistula (urethral leak) or persistent penile curvature. ...Read more

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What are the end-result goals of hypospadias repair?

What are the end-result goals of hypospadias repair?

Normal penis: Straight penis with erection. Urinary opening on the glans, as close to tip as possible. Satisfactory, single urinary stream which can be aimed and without spraying. No leak or post-void dribble. Satisfactory cosmetic result. Thus hopefully no complications such as persistent or de-novo penile curvature, urethral stricture or fistula. ...Read more

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What to do if I'm 19 years old and I have hypospadias?

Pediatric urologist: Sub-specialty has the most experience in correcting or advising about hypospadias. Urologist can advance urinary opening & correct significant curvature (chordee). However, requires no treatment if urinary opening is on head of penis which is straight or only minimally curved with erection. ...Read more

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Can a guy with hypospadias? Sexually function properly?

Can a guy with hypospadias? Sexually function properly?

Many variables: If the degree of curvature (chordee) is minimal and the urethral opening is near the tip of the penis (glans), sexual function and fertility can be essentially normal. If the opening is closer to the scrotum and the curvature is greater than 30 degrees, intercourse can be painful and difficult if not impossible. Fertility may be compromised if the opening is not far enough toward the tip. ...Read more

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What is the recovery time after the hypospadias operation?

What is the recovery time after the hypospadias operation?

Depends on severity: Of hypospadias + complexity of repair. Most of my cases have a cast-like dressing plus urethral stent (tube) for 7 - 9 days. Very minor repairs may require minimal or no dressing or stent. Most cases are done on babies with above schedule. Older boys or men may take longer to recover. ...Read more

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Need expert help here. What are the goals of hypospadias repair?

Need expert help here. What are the goals of hypospadias repair?

Normal function: This means ability to urinate with a single, straight, forceful stream whilst standing, that you are able to function normally with respect to sex. This requires urinary opening to be on glans ; penis to be straight and to achieve a normal appearing penis. Also means without fistula, meatal stenosis or urethral stricture. Pediatric urologists have the most experience in this regard. Good luck. ...Read more

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I am tutul 25 years old I was born with hypospadia what I will do?

I am tutul 25 years old I was born with hypospadia what I will do?

Need > information: Need to how severe your hypospadias. Where on underneath is the urinary opening ; is penis bent downwards, is so how much. Could avise about an appropriate referral if I knew where you live. You could also email photos to me, these would remain private. Hopefully will be able to help. ...Read more

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What to do if I have a son with hypospadias corrected with surgery?

Question unclear: You shouldn't have to do anything if surgery has corrected the problem & son has had no operative or post-operative complications. Best person to answer any? S about son's surgery is his surgeon. U have a superb urology DEpt. At National Children's Hospital in Columbus. Surgeon will likely be happy to answer?, without charge, by phone or email. Needs 2B seen if complication has occurred. ...Read more

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My son will need hypospadias repair. How successful is such a repair?

My son will need hypospadias repair. How successful is such a repair?

Highly successful: Hypospadias is a condition that has various levels of severity-. Distal hypospadias (hole close to the tip) is easier than the more proximal cases (hole closer to scrotum) which can require two surgeries. Complications include fistulas and meatal stenosis, and rates are higher with more proximal cases. The penis will look normal, but it may take a few surgeries. Seek a pediatric urologist. ...Read more

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I am 19 years old and I have hypospadias, will this have any effect on me as I get older?

I am 19 years old and I have hypospadias, will this have any effect on me as I get older?

Depends upon:-: Whether hypospadias has been corrected, if penis is reasonable straight enough to perform sexually ; possible psychologic effects relating to penile size or cosmetic appearance. Latter will depend upon your concerns about what possible future partner or locker-room observer might think. There should be little or no effect with a straight penis of acceptable size. Good luck. ...Read more

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How much research has there been on hypospadias? And why isn't it widely discussed? I had hypospadias and is about 1 year post-op.

How much research has there been on hypospadias? And why isn't it widely discussed? I had hypospadias and is about 1 year post-op.

Lots of research: Hypospadias is widely discussed by pediatric urologists at every meeting of society for pediatric urology, urology section of american academy of pediatrics, international society of urology, european urology society etc. Larry baskin md is proabably leading hypospadias researcher at present. Has a review in may 2010 uology clinics of north america pages 159-66. Available in a good medical library. ...Read more

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I am 33 in USA and have a mild sub coronal distal hypospadias that for was not repaired when I was a babe. Could this cause problems for me later?

I am 33 in USA and have a mild sub coronal distal hypospadias that for was not repaired when I was a babe. Could this cause problems for me later?

Problem is unlikely: Should not be problem unless penis is significantly curved (chordee). There is mild risk of urethritis following unprotected sex as vaginal mucus can enter hypospadias urethral opening (meatus) if enlarged. Thus advice to urinate after unprotected sex. This is also good advice for women to reduce risk of urinary infection after intercourse ...Read more

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Is it uncommon to have hypospadias and cryptorchidism together?

Is it uncommon to have hypospadias and cryptorchidism together?

Common: Both disorders are quite common. When they occur together, there may be an association with a disorder of sexual differentiation. Seek the opinion of a pediatric urologist. ...Read more

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What are some possible treatments for hypospadias?

What are some possible treatments for hypospadias?

Surgical repair: There are many types of hypospadias repair. Pediatric urologists, who perform lots of these procedures, tend to have the most experience with these procedures. Even in adults. Hypospadias is a structural problem & thus requires structural repair unless the hypospadias is very mild & penis is fairly straight. ...Read more

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Can you have hypospadias and cryptorchidism together?

Can you have hypospadias and cryptorchidism together?

Yes: When a baby is born with both hypospadias and one or two undescended testicles, there may be a chromosomal or hormone defect. With a severe hypospadias and two undescended testicles that cannot be palpated, the baby may be a girl with a severe hormone anomaly called congenital adrenal hyperplasia. At birth, these children must be evaluated by a urologist. ...Read more