Hypospadias (Pediatric)

Hypospadias is a congenital condition that affects male infants, where the opening of the urethra (the tube that carries urine from the bladder to the outside of the body) is located on the underside of the penis instead of at the tip. This condition occurs during fetal development when the tissues that form the urethra do not fully close along the midline.


Hypospadias can vary in severity. In some cases, the opening may be closer to the tip of the penis (milder hypospadias), while in others, it may be located farther back along the underside of the penis (more severe hypospadias).


  • Hypospadias is usually caused by incomplete development of the urethra during fetal development.
  • Genetic and environmental factors might contribute to the condition.


Hypospadias is usually diagnosed shortly after birth during a physical examination. The healthcare provider will assess the location of the urethral opening and the appearance of the penis.


  • Surgical repair is the primary treatment for hypospadias. The goal of surgery is to correct the positioning of the urethral opening and improve the appearance and function of the penis.
  • Surgical techniques vary based on the severity of the hypospadias. Surgery may involve creating a new urethral opening at the tip of the penis, repairing any curvature (chordee), and reconstructing the foreskin.
  • The optimal timing for surgery may vary and depends on the child’s overall health, the severity of the condition, and the surgeon’s recommendation. Some surgeries are performed in infancy, while others may be delayed until later childhood.


  • After surgery, a period of healing and follow-up appointments will be necessary.
  • Careful post-operative care is important to ensure proper healing and prevent complications.


  • With appropriate surgical intervention, most cases of hypospadias can be successfully repaired, leading to improved urinary and sexual function and a cosmetically satisfying appearance.
  • The long-term outlook for children who undergo hypospadias surgery is generally positive.

If your child has been diagnosed with hypospadias, it’s important to consult a pediatric urologist or a healthcare provider experienced in pediatric genital conditions. They can provide a proper diagnosis, discuss treatment options, and guide you through the surgical process to ensure the best possible outcomes for your child’s urinary and sexual health.

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