Being told your newborn has “hypospadias” can be an overwhelming experience for any parent. The term may sound alarming, but hypospadias is actually more common than most people realize—and more importantly, it’s treatable. With proper medical care and timely intervention, babies born with this condition can go on to live normal, healthy lives.
1. What Is Hypospadias?
Hypospadias is a condition where the urethral opening is located on the underside of the penis instead of at the tip. Though it may seem concerning, it’s a manageable condition with proper treatment.
2. How Common Is It?
According to the National Institute of Health, hypospadias affects 1 in every 200–300 live male births. Its causes may be linked to genetics, maternal age, or environmental exposure during pregnancy.
3. When and How Is It Diagnosed?
Hypospadias is usually diagnosed at birth during a physical exam. It is typically easy for a pediatrician to identify without the need for additional testing.
4. What Are the Visible Signs?
Signs of hypospadias may include:
·Downward curve of the penis (chordee)
·Foreskin forming a hood-like shape
·Spraying or irregular urine stream
·Fertility issues in severe, untreated cases
5. How Does Surgery Help?
Surgery is the main treatment and involves:
·Moving the urethral opening to the tip
·Straightening the penis if needed
·Reconstructing the foreskin
A pediatric urological surgeon usually performs this corrective procedure.
6. Best Time for Surgery
Surgery is generally recommended between 6 and 18 months of age because:
·The penis is developed enough for surgery
·Babies recover faster
·Early intervention reduces emotional stress for both child and parents
7. What Does the Procedure Involve?
·Mild cases may need just one surgery, lasting 1–2 hours under general anesthesia
·Severe cases might require staged procedures
·Tissue for reconstruction is often taken from the foreskin or nearby areas
·The goal is a functional, natural-looking penis
8. Recovery and Follow-Up
Post-surgery care includes routine checkups to monitor healing. Parents are encouraged to stay patient, supportive, and involved. Gentle but confident parenting helps children adapt better, especially during follow-ups or future medical visits.
While hearing your baby has hypospadias can be unsettling, it is a treatable and common condition. With the help of experienced pediatric surgeons and timely care, most children recover well and go on to live completely normal lives. Staying informed, emotionally prepared, and involved in the treatment journey can help ease your concerns and ensure the best outcomes for your child.
Dr. Manjiri Somashekhar, Lead & Senior Consultant – Paediatric Surgery, Aster Whitefield Hospital, Bengaluru
