Hypospadias

What is hypospadias?

Hypospadias is a congenital defect in males which affects the urethral tube and the foreskin of the penis. The urethral opening is not located at the tip of the penis rather along the underside of the penis. The child may also have a bend to the penis, called a chordee, and there is usually an absence of the lower portion of the foreskin. There are different degrees of hypospadias, named according to the anatomic location of the defect. Children with hypospadias should not be circumcised at birth until evaluated by a pediatric urologist.

Why come to Children's Hospital Colorado for treatment of this condition?

The professionals at Children's Hospital Colorado in Aurora, Colorado are dedicated to caring for kids. The members of the urology team are experts in pediatric urologic conditions and our surgeons are specialized in both pediatrics and urology. We strive to help patients and families feel educated about their condition, prepared for treatment and fully cared for by our urology team. 

What are the signs and symptoms?

Signs and symptoms include abnormal appearance of the foreskin and penis, an abnormal direction of urine stream and a downward curve to the penis.

How do you diagnose it?

Hypospadias is usually diagnosed just after birth during the baby’s first physical examination.

How is it treated?

Surgery is required to help the urethra exit at the tip of the penis. The goal is to create a straight penis with the opening at the tip. Surgery usually takes place when the child is between 3 and 12 months of age. It is not unusual for a child to need a second stage repair especially for the more severe forms of this disorder.

Who gets it, and can it be prevented?

Hypospadias occurs in 1 out of every 200 to 300 births. It is a congenital abnormality meaning it occurs during fetal development. However, the exact cause of hypospadias is unknown.

When should I seek medical attention?

The child should be referred to a pediatric urologist upon diagnosis, however it is not considered an emergent condition.