Hypospadias

Question 1

What is a hypospadia?

Answer 1

• = birth defect of the urethra in the male where the urinary opening is not at the usual location on the head of the penis

Question 2

Features/appearance of hypospadia

Answer 2

• The opening of the urethra (where the urine comes from) is not at the end of the penis but is somewhere else along the penis
• Dorsal hood: foreskin on back of penis
• Chordee: downward bending of penis
• There is not a straight stream of urine.

Question 3

Mx of hypospadia

Answer 3

• Early surgical correction - optimal repair before 2 years of age, six to 18 months of age
• Correction of location of urethra and chordee (to straighten penis to allow later successful sexual function)