What is hypospadias, and is it severe?

Written by: Mr Pankaj Mishra
Edited by: Conor Lynch

In one of our latest articles here below, accomplished and distinguished consultant paediatric urologist, Mr Pankaj Mishra, provides us with a comprehensive guide on hypospadias, including whether or not it requires emergency medical attention.

What exactly is hypospadias?

Hypospadias is a condition that affects newborn boys’ penis. Instead of the urine pipe ending at the tip of the penis, it can go anywhere. Along with the problem with the opening, the foreskin is also partly deficient, which gives an unusual appearance to the penis.


Is it considered to be severe?

It comes in wide ranges of severity and can be categorised as a skin abnormality to opening at the bottom of the penis, which can be very severe.


What are the known causes of hypospadias?

Unfortunately, we don’t know what causes hypospadias.


When should parents be concerned? Is treatment always necessary?

There are two aspects to this: how the penis looks, and how the penis functions (relating to whether or not the boy is able to easily pass urine). The function of the penis, especially in minor hypospadias, is not affected too much, and boys are able to pee normally. In severe hypospadias, the shape of the penis can be quite bent, which makes peeing difficult, which requires treatment.


Does hypospadias ever require emergency medical attention? If so, how?

It’s very unusual that hypospadias causes a medical emergency. If the opening becomes too small, boys will not be able to pass urine. This is a medical emergency. Sometimes, a more complex emergency related to the boy’s hormones can become a medical emergency. However, all in all, hypospadias can be managed very effectively in most cases.


To schedule in a consultation with Mr Pankaj Mishra, simply head on over to his Top Doctors profile today.

By Mr Pankaj Mishra
Paediatric urology

Mr Pankaj Mishra is a highly proficient and accomplished consultant paediatric urologist who specialises in undescended testicle, minimally invasive surgery, hypospadias, urinary tract infections, urinary incontinence, as well as foreskin problems. He currently practises at the Evelina London Children's Hospital in London. 

Mr Mishra, who is renowned for performing complex major reconstructive surgical procedures, obtained all of his medical qualifications from the well-established Royal College of Surgeons of England, including an MBBS, MS, as well as a MCh in paediatric surgery. He is also an expert when it comes to bedwetting at night, urinary reflux, blood in the urine, and phimosis. He possesses a specialist interest in both laparoscopic and endoscopic surgical procedures as treatment options for medical problems relating to the bladder, kidney, and ureter. 

His main research interests include urological outcomes in anorectal malformation, posterior urethral valves, sex development disorders, and simulation training in surgery. He has published extensively in peer-reviewed journals, and has gained a vast amount of experience throughout his, to-date, mightily impressive medical career. He obtained two fellowships in paediatric urology from both the Evelina Lodnon Children's Hospital, and the Great Ormond Street Hospital respectively. 

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