Urology :: Care and Treatment for Hypospadias
Mild forms of hypospadias may not require any intervention. If a hypospadias is more severe, surgical correction may be recommended. If left unrepaired, the following complications may occur as the child grows and matures:
- The urine stream may be abnormal. The stream may point in the direction of the opening or it may spread out and spray in multiple directions. It may also cause the stream to shoot directly downwards, towards the boy’s feet or body.
- The penis may curve as your baby grows causing sexual dysfunction later in life, resulting in a condition called chordee.
- If the urethral opening is close to the scrotum or perineum, the child may have problems with fertility later in life.
What is the treatment for hypospadias?
Specific treatment for hypospadias will be determined by your baby's health provider based on:
- The child's gestational age, overall health and medical history.
- The extent of the condition.
- The baby's tolerance for specific medications, procedures or therapies.
- Expectations for the course of the condition.
- The family’s opinion or preference.
Not all hypospadias defects will need to be repaired, which will be determined with the child’s health provider and family. If the hypospadias needs surgical repair, it is usually done when the baby is between 6 and 24 months, when penile growth is minimal. At birth, the child should not be able to undergo circumcision, as the extra foreskin may be needed for the surgical repair. The surgical repair can usually be done on an outpatient basis (and may require multiple surgeries depending on the severity). Learn more about postoperative care for a child who will be undergoing hypospadias and chordee corrective surgery.