Hypospadias: Frequently Asked Questions
What is hypospadias?
Hypospadias refers to a urethral meatus ("pee-hole") which is located along the underside, rather than at the tip of the penis. In minor, or distal hypospadias, the meatus may be located on the underside of the penis, in the glans. In more pronounced hypospadias, the urethra may be open from mid-shaft out to the glans, or the urethra may even be entirely absent, with the urine exiting the bladder behind the penis. See Hypospadias: A parent's guide to surgery for a discussion of causes and treatment.
Source: www.healthyplace.com
Hypospadias refers to a urethral meatus ("pee-hole") which is located along the underside, rather than at the tip of the penis. In minor, or distal hypospadias, the meatus may be located on the underside of the penis, in the glans. In more pronounced hypospadias, the urethra may be open from mid-shaft out to the glans, or the urethra may even be entirely absent, with the urine exiting the bladder behind the penis. The preceeding article was written and produced by ISNA and appears here with permission.
Source: www.xyxo.org
This is a condition where the urinary opening (pee hole) is not in the correct place but located on the underneath surface of the penis. The type of hypospadias is described by where the opening is. The mildest form (glanular) is where the opening is on the glans (see diagram). In moderate hypospadias the opening comes where the glans meets the body of the penis (coronal and sub-coronal). Openings farther back (on the penis itself or at the base of the penis) are the sevre varieties. ...
Source: www.pediatricurology.in
Hypospadias is one of the most common conditions referred to a pediatric urologist. It is a condition where the urinary channel in a boy (called the "urethra"), does not come out at the tip of the penis. The cause is usually not known, although it does occur in some families. About 1 out of every 300 boys is born with this condition. The opening to the urinary channel may come out anywhere along the undersurface of the shaft of the penis or even as far back as beneath the scrotum. ...
Source: lib.cpums.edu.cn
What is the incidence of hypospadias?
One in 125 boys to one in 300 boys has hypospadias. In the United States a study reported that hypospadias was the most common congenital anomaly among whites. The incidence has been rising during the 1970s and 1980s.
Source: www.hypospadias-surgery.com
One in 125 boys to one in 300 boys has hypospadias. In the United States a study reported that hypospadias was the most common congenital anomaly among whites. The incidence has been rising during the 1970s and 1980s. 4.
Source: hypospadie.ch
What are hypospadias and epispadias?
Hypospadias and epispadias are birth anomalies that result from defective development of the penis during embryological development. Normally the urethra (the tube that serves as a conduit through the penis for passage of urine and semen) runs the entire length of the penis, forming an opening at the tip. However, the penis sometimes does not form correctly and the urethra fails to reach the tip of the penis. ...
Source: www.heainfo.org
Hypospadias info Epispadias is a rare congenital defect affecting the location of the opening of the urethra. In boys with epispadias, the urethra usually opens on the top or side of the penis, rather than through the tip. Sometimes the urethra is open the entire length of the penis. In girls, the opening is usually between the clitoris and the labia. Sometimes the opening is in the abdomen.
Source: www.childrenshospital.org
How common are hypospadias and epispadias?
Hypospadias is one of the most common birth anomalies, occurring to some degree in as many as 1 out of every 125 boys (according to the Centers for Disease Control and Prevention). Epispadias, which is often more severe than hypospadias, occurs much less frequently.
Source: www.heainfo.org
Is it necessary to correct distal hypospadias?
Many parents ask if surgery is needed for mild degrees of hypospadias. While it is difficult to predict problems later in life by evaluating an infant, there are several valid reasons for recommending routine correction, regardless of the severity. First, as many as 15 percent of boys with this condition will have a noticeable downward curvature, a chordee, that may interfere with his ability to achieve an effective erection in adulthood. ...
Source: www.urologicreconstruction.com
When should the hypospadias-operation be performed?
Recent studies showed that the ideal time for hypospadias correction is between 3 and 15 months as the penis grows less than 1 cm during the first 3 - 4 years.
Source: hypospadie.ch
Can genetic factors contribute to the likelihood of hypospadias?
In approximately 7 percent of sufferers, the father is also affected. The chance that a second son will be born with hypospadias is about 12 percent. If both father and brother are affected, the risk in a second boy increases to 21 percent.
Source: www.urologicreconstruction.com
What problems do hypospadias and epispadias cause?
Consequences depend in large part on the severity of the condition. The most common consequences are difficulty urinating while standing and a cosmetic appearance of the penis that differs from other boys. If chordee is present, the severe curvature of the penis might also cause painful erections. Many boys with these conditions are more susceptible to urinary tract infections because of the shortened urethra.
Source: www.heainfo.org
Is it possible to diagnose hypospadias during pregnancy and is that an indication for abortion?
Sometimes it is possible to diagnose hypospadias during pregnancy, but usually the diagnosis is only confirmed after birth. There is definitely no indication for abortion because of hypospadias.
Source: www.hypospadias-surgery.com
How long does it take for the hypospadias repair to heal and what are the precautions?
The hypospadias repair would heal by about 70 % in one month, for complete healing of the repair this may take up to 6 months (this is one reason why Prof. Hadidi does not recommend any operations during the first 6 months after hypospadias surgery). It would be very important to avoid sport activity which may cause trauma to the penis during the first month of the surgery as well as swimming or bycicle riding.
Source: www.hypospadias-surgery.com
I have already a child with hypospadias. How high are the chances that also the second child will be born with hypospadias?
Usually hypospadias is sporadic. When one child has a hypospadias does not increase the chances of hypospadias for other children in the family. Rarely there are families where there may be genetic predisposition thats to say, the father, uncle or grandfather had hypospadias and in these rare instances more than one child can be affected.
Source: www.hypospadias-surgery.com
Should my son receive hormonal treatment before the hypospadias-operation?
Glanular and distal hypospadias and majority of proximal hypospadias do not need pre-operative hormonal treatment. Some surgeons prefer to use pre-operative hormonal treatment in the form of creme or injections in severe forms of proximal hypospadias. The drawback with hormonal treatment is that it does not affect the penis only but affects the whole body including bone growth and the effect of hormons on the penis is temporary (1 month after therapy). ...
Source: www.hypospadias-surgery.com
Does my child has to be bed ridden or can he move around after the hypospadias-operation?
Usually the child is allowed to sit and move around and lead a normal life 24 hours after the operation (however care must be taken to protect the genital area). However in proximal forms of hypospadias extra care must be taken to avoid slippage of the catheter outside the bladder.
Source: www.hypospadias-surgery.com
Will my son become "normal" after hypospadias-operation?
Yes, in children with glanular (grade1), distal (grade 2) and the majority of proximal (grade 3) hypospadias, if the operation is done by an experienced surgeon. However in a small percentage of patients (especially in proximal forms) complications may occur that may impair the appearance or the function of the penis.
Source: www.hypospadias-surgery.com
Yes, in children with glanular (grade1), distal (grade 2) and the majority of proximal (grade 3) hypospadias, if the operation is done by an experienced surgeon. However in a small percentage of patients (especially in proximal forms) complications may occur that may impair the appearance or the function of the penis. 9.
Source: hypospadie.ch
What will a Mohel do about hypospadias, chordee, webbed penis, and other penile abnormalities?
Part of a Mohel's extensive training is to detect penile abnormalities. Especially in cases of hypospadias and chordee, the Mohel will not do anything until he consults with the baby's pediatrician and/or urologist. In these cases, it is sometimes necessary to postpone the bris for up to a few years, until the child has reconstructive surgery using portions of the foreskin. In these cases, the Mohel can be present in the O.R. at the time of the surgery, and perform the ritual bris under the direction of the urologist.
Source: rabbi4u.com
If there are problems after several operations, can hypospadias still be repaired?
Yes. Fortunately, the majority of operations are successful the first time. Yet, a few patients require re-operation because of complications. Most of them will have a good outcome the second time, while a few will have lingering problems leading to even more surgery. This small group of patients is sometimes referred to as "hypospadias cripples," implying that their problems cannot be fixed. ...
Source: www.urologicreconstruction.com
I have hypospadias/epispadias. Are there any special hygiene concerns?
Yes. Men with hypospadias/epispadias may have a larger urethral opening than average, so wash your penis very carefully so that irritants such as soap do not enter the urethra. Other irritants that may enter the urethra include spermicides, so it may be wise to avoid using sexual lubricants that contain spermicide. Additionally, you may have a higher risk of contracting HIV or other sexually transmitted diseases, especially if your urethra is irritated and inflamed, so condoms are especially important. ...
Source: www.heainfo.org
Why is there a question on the follow-up form asking whether participants have ever had a son born with either hypospadias or undescended testicles?
One report has suggested the possibility that more sons with these conditions are born to vegetarian mothers. This needs further investigation, so the question is designed to examine the association of vegetarianism with the prevalence of these conditions.
Source: www.epic-oxford.org
Will boys with hypospadias/epispadias be able to father children when they grow up?
There is no evidence that men with these conditions have more infertility problems than anyone else. However, in severe cases the urethral opening may be so far from the tip of the penis that semen may not easily enter the vagina. Even in those instances, insemination will likely be possible without medical intervention.
Source: www.heainfo.org
Si l´on souffre d'un hypospadias ( quand l'orifice de sortie de l'urètre est déplacé ), peut-on suivre le traitement?
En général oui, mais un médecin urologue devra vous montrer comment porter correctement l'appareil.
Source: www.andropenisfrance.com
I’m a young man with hypospadias/epispadias. I want to be romantically involved, but I’m afraid I’ll be rejected because of my condition. What should I do?
Your condition may not be as obvious to other people as it is to yourself, even if your potential sexual partner has had sexual encounters with other guys before. The biggest difference in your penis is most likely cosmetic, and most partners will not be very concerned with the cosmetic appearance of your penis. Nevertheless, it would be wise to tell your partner briefly about your condition a bit beforehand (but not on the first date) just to avoid surprises. ...
Source: www.heainfo.org
