Hypospadias

Hypospadias is a condition affecting males, where the urethral meatus (the opening of the urethra) is abnormally displaced posteriorly on the penis. This might be further towards the bottom of the glans (in 90% of cases), halfway down the shaft or even at the base of the shaft. Epispadias is where the meatus is displaced anteriorly, on the top of the penis. Usually, the foreskin is abnormally formed to match the position of the meatus. There can also be an associated condition called chordee, where the head of the penis bends downwards.

Hypospadias is a congenital condition affecting babies from birth, and is usually diagnosed on the examination of the newborn.

 

Management

Hypospadias requires referral to a paediatric specialist urologist for ongoing management. It is important to warn parents not to circumcise the infant until a urologist indicates this is ok.

  • Mild cases may not require any treatment
  • Surgery is usually performed after 3 – 4 months of age
  • Surgery aims to correct the position of the meatus and straighten the penis

 

 Complications

  • Difficulty directing urination
  • Cosmetic and psychological concerns
  • Sexual dysfunction

 

Last updated August 2019
WordPress Theme built by Shufflehound. Copyright 2016-2021 - Zero to Finals - All Rights Reserved