Hypospadias

Question 1

Definition

Answer 1

A birth defect of the urethra in the male that involves an abnormally placed urinary meatus (opening). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans.

Question 2

Presentation

Answer 2

• passing urine can be difficult (spray backwards)
• sexual intercourse may be difficult
• mild erection problems, premature ejaculation

Question 3

Treatment

Answer 3

Surgery

Question 4

3 goals of surgery

Answer 4

1. For urine to be passed in a forward way.
2. For the penis to be straight when erect.
3. For the penis to look as normal as possible.