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Hypospadias

Hypospadia · Hypospadie

male only

What it is

The urethra opens on the underside of the penis instead of the tip; about 1 in 250 boys.

Symptoms & signs

  • Opening on the underside of the penis or on the scrotum
  • hooded foreskin missing underneath
  • downward bend on erection (chordee)
  • urine stream sprays or points down

🚩 Get help if…

  • call 112 / 911 now Unable to pass urine, or a swollen tight belly
  • see a doctor soon Genitals that look unclear, or testes not felt
  • see a doctor soon Weak spray or straining to pee
  • see a doctor soon Fever or pain on peeing after repair

Where it strikes

Medical treatment

  • No circumcision — the foreskin is used in the repair
  • surgical repair usually at 6–18 months (tubularised incised plate)
  • fistula, narrowing or reoperation in about 1 in 10 distal and up to half of proximal repairs
  • with undescended testes, tests for a difference of sex development
  • follow-up through puberty

Natural & lifestyle

  • Nothing at home corrects it
  • watch the stream and ask for review if it weakens after repair

Emerging & experimental

  • Testosterone before surgery to enlarge the penis — mixed results, possibly more complications mixed evidence
  • tissue-engineered urethra

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Waiting for it to correct itself — it does not anecdotal / traditional
  • Homeopathy — untested; no plausible mechanism anecdotal / traditional

ICD codes