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.
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
- Difficulty directing urination
- Cosmetic and psychological concerns
- Sexual dysfunction
Last updated August 2019