Hypospadias is a congenital (present at birth) condition in boys where the opening of the urethra — the tube that carries urine out of the body — is located on the underside of the penis instead of at the tip. The position of the opening may vary from just below the tip to the base of the penis in more severe cases.
Hypospadias is a relatively common condition and can be safely corrected with specialized surgical treatment.
Hypospadias occurs during fetal development when the urethra does not form completely. The exact cause is not always known, but it may be related to:
Hormonal influences during pregnancy
Genetic factors
Environmental factors
It is not caused by anything the parents did during pregnancy.
Parents may notice:
Urinary opening located on the underside of the penis
Downward curvature of the penis (chordee)
Abnormal foreskin appearance (often hooded or incomplete)
Spraying or abnormal urine stream
In most cases, the condition is painless but may affect urination and, later in life, sexual function if not corrected.
Hypospadias is usually diagnosed at birth during physical examination. No additional tests are required in mild cases. In more severe forms, additional evaluation may be advised to rule out associated conditions.
Surgical correction is the standard treatment and is usually recommended between 6 to 18 months of age.
Reposition the urethral opening to the tip of the penis
Correct any curvature
Improve the appearance of the penis
Ensure normal urinary function
The procedure is performed under general anesthesia by a pediatric urologist or pediatric surgeon. In most cases, it is completed in a single stage, though complex cases may require staged repair.
A detailed consultation is conducted, and parents receive clear instructions regarding preparation and post-operative care.
The procedure is performed in a specialized pediatric surgical facility following strict safety standards.
A small tube (catheter) may be temporarily placed to allow proper healing. Mild swelling or discomfort is normal. Most children recover well, and follow-up visits ensure proper healing and function.
Circumcision should be avoided in children with hypospadias until evaluation by a specialist, as the foreskin may be needed for surgical repair.
Our pediatric surgical team provides expert evaluation and advanced surgical correction for hypospadias. With precise techniques, child-friendly care, and careful follow-up, we aim to ensure normal urinary function, healthy development, and excellent long-term outcomes for your child.
