Hypospadias

Hypospadias

Pronounced: hi-poe-spa-dee-us

Definition

Hypospadias is a problem with how the penis develops before birth. The meatus is the opening that urine passes through. It should be on the tip of the penis. When the opening develops on the underside of the penis it is called hypospadias.

Male Reproductive System

Nucleus factsheet image
Copyright © Nucleus Medical Media, Inc.

Causes

Hypospadias develops before a child is born. The exact cause is not known.

Risk Factors

Things that increase the chance of a baby having hypospadias are:

  • Family history of hypospadias
  • Mother being older or having in vitro fertilization
  • Mother is exposed to harmful items in environment during pregnancy
  • Fetus has growth problems during the pregnancy

Symptoms

The abnormal location of opening will be visible. Other symptoms may include:

  • Curve of the penis—called chordee
  • Abnormal spray when passing urine
  • Foreskin only covers part of the head of the penis

Diagnosis

The doctor can see hypospadias during a physical exam. It is often diagnosed at birth.

Treatment

Mild hypospadias may not need treatment. Some can cause problems passing urine. A surgery may then be done. The goals of surgery are to:

  • Reconstruct the opening of the urethra
  • Straighten a curved penis

Skin from the foreskin or inside of the mouth may be used to rebuild the area.

Prevention

The cause of hypospadias is not clear so there are no clear steps to prevent it.

RESOURCES:

Healthy Children—American Academy of Pediatrics
https://www.healthychildren.org
Urology Care Foundation
http://www.urologyhealth.org

CANADIAN RESOURCES:

Canadian Urological Association
http://www.cua.org

References:

Hypospadias. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hypospadias. Accessed September 2, 2020.
Hypospadias: a birth defect of the penis. Healthy Children—Academy of Pediatrics website. Available at: https://www.healthychildren.org/English/health-issues/conditions/genitourinary-tract/Pages/hypospadias-a-birth-defect-of-the-penis.aspx. Accessed September 2, 2020.
Marrocco G, Grammatico P, Vallasciani S, et al. Environmental, parental and gestational factors that influence the occurrence of hypospadias in male patients. J Pediatr Urol. 2015 Feb;11(1):12-99
Tekgul S, Dogan HS, Kocvara R, et al; European Society for Paediatric Urology and European Association of Urology (ESPU/EAU). Guidelines on Paediatric Urology. EAU 2017 Mar.
Last reviewed September 2020 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 9/3/2020

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Home |Terms and Conditions |Concerned About Privacy? |Accessibility |Careers |For Employers and Medical Plan Providers

You may also be looking for: CVS/pharmacy | MinuteClinic | Specialty Pharmacy | SilverScript | Accordant