Hypospadias in children
Medical explanations, causes, diagnosis, and surgical treatment
Hypospadias is a common congenital disability in which the opening of the urethra is not at the tip of the penis, but on the underside, which can affect urination and the child’s normal development. This page explains in terms parents can understand how hypospadias is diagnosed, what the clinical signs are, and what specialized surgical treatment involves, including the steps of the procedure and what the family can expect before and after the operation. The video below provides a detailed visual guide for parents.
Frequently asked questions about hypospadias in children
What is hypospadias?
Hypospadias is a congenital disability in male children, in which the opening of the urethra is not located at the tip of the penis, but lower, on the underside. The condition is present from birth and can vary in severity.
How common is hypospadias?
Hypospadias occurs in approximately 1 in 200–300 male newborns. It is one of the most common congenital urological malformations in children.
What are the signs of hypospadias in babies?
Signs may include:
abnormal positioning of the urethral opening
deviated urinary stream
curvature of the penis
different appearance of the foreskin
The diagnosis is established by clinical examination.
Is surgery necessary for hypospadias?
In most cases, surgical treatment is recommended, as hypospadias can affect urination, future sexual function, and normal development. The type and timing of the surgery depend on the form of hypospadias.
At what age is hypospadias surgery performed?
Surgery is usually performed between 6 and 18 months, when the tissues are favorable for correction and recovery is faster.
Is hypospadias surgery safe?
When performed in a specialized center by an experienced pediatric surgeon, hypospadias surgery is considered safe, with good success rates and reduced complications.
How long does recovery take after surgery?
Initial recovery takes a few days, and complete healing occurs over the following weeks. Most children quickly resume their normal activities, according to medical advice.
Will my child have normal development after treatment?
The goal of treatment is to achieve normal urinary function, a correct anatomical appearance, and healthy long-term development. The evolution depends on the type of hypospadias and the treatment applied.
Does hypospadias affect fertility?
In properly treated forms, hypospadias does not affect fertility. Therefore, correct and timely treatment is important.
What should I do if I suspect hypospadias?
Evaluation by a pediatric surgeon with experience in hypospadias is recommended to establish the diagnosis and appropriate treatment options.
