is an abnormality of the urethra and penis that is present at birth. This can cause problems with passing urine and also with erections. It can range in severity. Surgical correction is usually very successful
WHAT IS THE PENIS LIKE IN HYPOSPADIAS ?
The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).
HYPOSPADIAS MAY ALSO INCLUDE THE FOLLOWING :
The cost of treatment varies based on a number of factors, including:
- A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.
- Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. The further back the urethral opening is, the more severe the chordee tends to be. Mild hypospadias may not have any chordee.
If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, then no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, then two operations may be necessary. The operation is usually done when the child is around 4-18 months old.
A full discussion with a surgeon Dr. Rahul Goyal is needed to decide what can be done. The goal of treatment is for urine to be passed in a forward way, for the penis to be straight when erect and for the penis to look as normal as possible. The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed.
The success of the operation and the ‘normality’ that can be achieved may depend on the severity of the hypospadias.