Skip Navigation

Congenital Defects

Hypospadias

What Is Hypospadias?

Most boy babies are born with a penis that looks normal and works the way it’s supposed to, but some are born with a common congenital birth defect called hypospadias.

It occurs when the urethral opening is at or just below the junction where the glans joins the shaft of the penis. It can, however, be as far back as the scrotum. In addition, boys with hypospadias are often missing the undersurface half of their foreskin so that it forms a hood. 

Hypospadias may cause deviation of the urinary stream so that the boy is forced to sit to urinate. Additionally, sexual function may be hampered by the location of the urethral opening or by the bend in the penis.

What Causes It?

Hypospadias results from incomplete development of the urethra. It is sometimes inherited – in about 7 out of 100 boys with hypospadias, the father also had it. In all other cases, the cause is usually not known.

Can a Circumcision Be Performed?

No. A circumcision should not be performed during the newborn period. The foreskin may be needed for the repair of the hypospadias.

Can It Be Corrected?

The child will not "outgrow" the problem and surgery to correct the problem will be needed. When possible, these operations are best accomplished between 6 and 18 months of age by a surgeon with experience in genital reconstruction. Most of the time repair can be achieved in a single operation.

The goal of surgery is to:

  • straighten the shaft
  • make the urinary channel
  • position the urethral opening in the head of the penis
  • circumcise or reconstruct the foreskin

    What Is the Long-Term Outlook for Boys with Repaired Hypospadias?

    Following surgery, most boys have normal function and a good cosmetic result. Long-term studies suggest that these boys do well emotionally as well. Fertility and potency is expected to be normal after repair.

     

     

    Quick Reference

    Urology
    To Make An Appointment

    New Patients 336-716-WAKE
    Or Toll Free 888-716-WAKE
    Current Patients
    336-716-4131

    Hours
    8:30 am to 4:30 pm
    Find a Doctor Ways to Give
    Last Updated: 06-20-2017
    Six Wake Forest Baptist Specialties Earn U.S. News RankingsComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsMagnet Hospital RecognitionJoint Commission Report

    Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

    © Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved.