If your baby boy has been diagnosed with hypospadias, please know that this is a common and treatable condition! Hypospadias occurs in about 1 in 250-300 baby boys. It means the urethral opening (where urine comes out) is not at the tip of the penis but somewhere along the shaft. Surgery can successfully correct this, and most boys go on to have completely normal urinary and sexual function.
Understanding Hypospadias
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What is Hypospadias?
Birth defect affecting the penis
Urethral opening (meatus) is in wrong position
Not at the tip, but somewhere along shaft or scrotum
Occurs during fetal development (9-12 weeks pregnancy)
Very common - you're not alone!
Types Based on Location:
Type
Location
Severity
Distal/Glanular
Near tip of penis
Mild (most common - 70%)
Midshaft
Along middle of penis
Moderate
Proximal/Penoscrotal
Near base of penis/scrotum
More severe
Why This Happens
Causes (Usually Unknown):
Exact cause unclear in most cases
Development issue during weeks 9-12 of pregnancy
Genetic factors may play role
May run in families
NOT caused by anything you did during pregnancy!
Risk Factors:
Family history of hypospadias
Older mother (35+)
Maternal obesity
Certain fertility treatments
Environmental factors (rarely proven)
Important: In most cases, no specific cause is found. Don't blame yourself!
What You May Notice
Signs of Hypospadias:
Urethral opening not at tip of penis
"Hooded" foreskin (skin only on top, incomplete underneath)
Downward curve of penis (chordee)
Abnormal spray when urinating
May need to sit to urinate (if severe)
Usually Noticed:
At birth during examination
During newborn checkup
Sometimes missed until diaper changes
When to Worry (Red Flags)
Contact your pediatrician/urologist if:
Difficulty urinating
Pain during urination
Infection signs (fever, redness, swelling)
Concerns about appearance
Questions about treatment timing
Important Notes:
Do NOT circumcise before consulting urologist
Foreskin may be needed for surgical repair
Discuss with pediatric urologist first
Treatment: What to Expect
Surgery is the Standard Treatment:
Aspect
Details
**Age for Surgery**
Usually 6-18 months (ideal: 6-12 months)
**Type**
Usually single surgery, sometimes staged
**Duration**
1-3 hours depending on severity
**Hospital Stay**
Often same-day or overnight
**Recovery**
2-4 weeks, full healing in 6 months
Goals of Surgery:
Place urethral opening at tip of penis
Straighten any curve (chordee)
Create normal appearance
Allow normal urination standing up
Ensure future sexual function
Before Surgery:
No circumcision (foreskin used for repair)
Regular pediatric urologist visits
Plan timing around family schedule
Prepare for post-operative care
Post-Surgery Care
Immediately After:
Catheter may be in place (usually 1-2 weeks)
Dressing/bandage on penis
Pain medication as needed
Avoid straddling toys (no car seats for prolonged time)
Wound Care:
Keep area clean and dry
Change diaper frequently
Watch for signs of infection
Follow specific surgeon instructions
What to Expect:
Swelling and bruising (normal)
Some bloody drainage (normal)
Child may be fussy initially
Healing takes several weeks
Concerning Signs (Call Doctor):
Fever over 38.5°C
Heavy bleeding
Unable to urinate
Severe pain not relieved by medication
Signs of infection (pus, increasing redness)
What You Can Do
Before Surgery:
Find experienced pediatric urologist
Ask questions about their experience
Understand the procedure
Plan for recovery time at home
Arrange help for post-op period
Emotionally:
Know this is common and treatable
Outcomes are generally excellent
Your son will likely have normal function
Connect with other parents if helpful
Don't feel guilty - this isn't anyone's fault
Practical:
Document doctor's instructions
Prepare home for recovery
Stock up on diapers and soft clothing
Plan for time off work if needed
Long-Term Outcomes
Good News:
Surgery success rate is high (90%+)
Most boys have normal urination
Sexual function usually normal
Fertility usually unaffected
Cosmetic results generally good
Possible Complications (Uncommon):
Fistula (extra opening) - may need minor repair
Stricture (narrowing) - may need follow-up
Some may need second surgery
Regular follow-up recommended
Frequently Asked Questions
Q: Doctor ne bola hai ki baby ka operation hoga - kya yeh safe hai?
A: Yes, hypospadias surgery is very safe when done by an experienced pediatric urologist. It's one of the most common pediatric urological surgeries. The techniques have improved significantly over decades. Complications are uncommon, and most boys have excellent outcomes with normal function.
Q: Why didn't they do circumcision at birth like other babies?
A: In hypospadias, the foreskin is often incomplete (looks "hooded"). More importantly, the foreskin tissue is valuable for surgical repair - surgeons use it to reconstruct the urethra. Circumcising would remove tissue needed for surgery. Always consult the urologist before any decision about circumcision.
Q: Will my son have normal sexual function as an adult?
A: Yes, in the vast majority of cases! When surgery is done properly, boys grow up to have normal sexual function and fertility. The goal of surgery is to ensure normal appearance and function. Most men with repaired hypospadias have normal intimate lives and can father children.
Q: At what age should surgery be done?
A: Most pediatric urologists recommend surgery between 6-18 months of age. This timing is ideal because: healing is faster in young babies, child won't remember the surgery, and psychological impact is minimized. Earlier surgery also completes treatment before potty training age. Your surgeon will recommend best timing for your child.
Q: Kya yeh condition next baby mein bhi ho sakti hai?
A: There is a slightly higher risk if one child has hypospadias. If one son is affected, the risk for the next male child is about 10-15% (compared to 0.3% in general population). If the father had hypospadias, risk is about 8%. However, most subsequent male babies will NOT have it. Talk to a genetic counselor if you're planning another pregnancy.
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This article was reviewed by a pediatrician. Last updated: January 2025
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