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What we need to know about hypospadias

Mr Guy Thorburn
Written in association with: Mr Guy Thorburn Adult and Paediatric Plastic Surgeon in Oxford
5.0 |

10 reviews

Sources: Top Doctors GB
Published: 14/04/2025 Edited by: Conor Lynch on 16/06/2025

Hypospadias is a congenital condition that affects the male urethra, where the opening is not located at the tip of the penis but rather on the underside. This condition occurs in approximately 1 in 200 to 300 male births, making it one of the most common congenital anomalies of the male genitalia.

The severity of hypospadias can vary significantly; in some cases, the urethral opening may be located near the base of the penis, while in others, it may be found in the scrotum. The exact cause of hypospadias is not fully understood, but it is believed to involve a combination of genetic and environmental factors.

 

Hormonal influences during foetal development play a crucial role in the formation of the urethra, and any disruption in this process can lead to hypospadias. Family history can also increase the likelihood of a child being born with this condition.

 

Diagnosis of hypospadias typically occurs at birth during a physical examination. Parents may notice that the urine stream is directed downward or that the penis has an unusual shape. While hypospadias can be diagnosed easily, it is essential for parents to consult a pediatric urologist for a comprehensive evaluation.

 

Treatment for hypospadias usually involves surgical intervention, which is often performed between 6 and 18 months of age. The goal of surgery is to create a normal urethral opening and to ensure proper function and appearance of the penis. Most children who undergo surgery for hypospadias can lead healthy, normal lives without significant complications.

 

In conclusion, while hypospadias can be concerning for parents, early diagnosis and appropriate surgical treatment can lead to excellent outcomes. Ongoing research continues to improve our understanding of this condition, offering hope for better prevention and treatment strategies in the future.

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