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Paediatric

Hypospadias

Hypospadias is a birth condition where the urinary opening is on the underside of the penis rather than at the tip, often with a downward curve. It is corrected surgically in early childhood.

Symptoms

  • Abnormally placed urinary opening
  • Downward curvature of the penis (chordee)
  • Spraying or downward urinary stream
  • Incomplete foreskin on the underside

Causes and risk factors

  • Incomplete development of the urethra during pregnancy
  • Hormonal and genetic influences

Diagnosis

  • Clinical examination at birth or in infancy
  • Assessment for undescended testis
  • Ultrasound of the urinary tract in severe forms

Treatment

  • Single-stage urethroplasty (TIP repair)
  • Staged repair for severe cases
  • Chordee correction
  • Ideal age is 6 to 18 months

Prevention

  • Not preventable — the priority is timely diagnosis and repair
  • Do not circumcise before urology review; the foreskin may be needed for repair

Recovery

A small catheter stays for about a week. Children usually recover quickly, with follow-up to confirm a good stream and cosmetic result.

Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.