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.
See below. Hypospadias refers to the location of the urethral meatus on the penis (the opening through which urine exits). When the opening is located below the tip, it is called hypospadias. The opening can be just below the tip or anywhere in the midline as far low as between the testicles. Hypospadias is frequently associated with a curvature of the penis and sometimes an undescended testicle.

Related Questions

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...

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...

What is done for hypospadias?

Hypospadius. A surgery is done to fix and move hole to more normal location. Read more...
Repair. The urethra is extended from its abnormal location to the tip of the penis, the penis is straightened if needed, and a circumcision is usually performed.. Read more...
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...

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...
Urethra is extended. In a hypospdias repair, the urethral opening is extended from its uriginal location (usually along the undersurface of the shaft of the penis) to the tip of the head of the penis (the glans). The extension can be created a number of ways either from local skin, the foreskin, or with a graft from another location. The penis is the reconstructed to have a normal cosmetic appearance. Read more...

What is the effect of hypospadias?

Functional & psyche. Depends upon severity of hypospadias & if & how well repaired. Urinary opening is underneath so shoes may get wet with voiding, urine may spray if opening large + risk of urethritis after sex. Penis may be bent &/or small making sex difficult. Psychologically men may be self conscious in public or club showers, or fearful that their genitals don't look normal & fear of ridicule.Slight genetic risk. Read more...

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...
Depends on severity. Best taken care of by an experienced pediatric urologist. Prognosis depends upon severity of hypospadias, i.E location of urinary opening, amount of curvature (chordee), penile size + surgeon's experience. Minor degrees of glanular hypospadias may require no intevention thus prognosis excellent. Severe hypospadis may require a multiple staged procedure + have complications. Prognosis overall good. Read more...

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...

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...

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...
Varies. This is a variable defect. The pee hole could be near the end but under, near mid shaft or near the base. If it is near the end, you could function normally for sex & reproduction. Otherwise an operation could create a new tube to bring it out the end. There are variables, but these are the basics. It is delicate surgery but something a urologist is trained for. Good luck. Read more...