Hypospadias (hye-peh-SPAY-dee-iss) is when the urethra — the tube that drains
pee (urine) from the bladder
to outside the body — opens in a different place instead of at the tip of the
penis. The opening
may be on the underside or at the base of the penis.
What Are the Signs & Symptoms of Hypospadias?
A boy with hypospadias has one or more of these signs:
The opening of the urethra is not at the tip of the penis.
The foreskin only covers part of the tip (glans) of the penis.
The penis is curved (called chordee, this might be noticeable
only when the penis is erect).
What Problems Can Happen?
Whether hypospadias will cause problems depends on where the urethra opens. For
example, an opening:
near the tip of the penis usually causes no problems
lower down on the penis may cause pee to spray
far from the tip of the penis may cause problems with fertility
Chordee (KOR-dee) may or may not cause problems, depending on the bend:
A slight bend may cause no problems.
A moderate to severe bend may cause problems later in life during sexual activity.
What Causes Hypospadias?
Doctors don't know exactly what causes hypospadias. Sometimes it runs in families.
Kids with certain genetic conditions are more likely to have hypospadias. Babies born prematurely also are
more likely to have hypospadias.
How Is Hypospadias Diagnosed?
Usually the baby's doctor notices hypospadias during the first
check-up after delivery. Sometimes it is noticed during a well-baby check. Other
times, a parent notices it when their baby's pee sprays from a different place than
How Is Hypospadias Treated?
Most of the time, doctors do surgery to fix hypospadias. Some mild cases might
not need surgery.
Depending on where the urethra opens and whether the child has chordee, a pediatric
urologist (a surgeon who specializes in urinary issues in kids) will:
move the opening closer to the tip of the penis
straighten the curve of the penis, if needed
Parents may need to wait to circumcise
(remove the foreskin of the penis) their child until after the hypospadias is fixed.
Surgeons often use the foreskin to repair the hypospadias.
How Can Parents Help?
Talk to a pediatric urologist as you decide whether to circumcise your child. It
may be important to leave the foreskin in place to use later to repair the hypospadias.