About Hypospadias
Hypospadias (hi-poe-SPAY-dee-us) is a birth defect (congenital condition) in which the opening of the urethra is on the underside of the penis instead of at the tip. The urethra is the tube through which urine drains from your bladder and exits your body. Hypospadias is common and doesn’t cause difficulty in caring for your infant. Surgery usually restores the normal appearance of your child’s penis. With successful treatment of hypospadias, most males can have normal urination and reproduction.



Symptoms
In hypospadias, the opening of the urethra is located on the underside of the penis instead of at the tip. In most cases, the opening of the urethra is within the head of the penis. Less often, the opening is at the middle or the base of the penis. Rarely, the opening is in or beneath the scrotum.
- Opening of the urethra at a location other than the tip of the penis
- Downward curve of the penis (chordee)
- Hooded appearance of the penis because only the top half of the penis is covered by foreskin
- Abnormal spraying during urination
Causes
As with many other birth defects, doctors aren’t sure why some boys get hypospadias. They think some of the reasons could be:
- Genetics: It’s more likely if the boy has a father or brother who were born with it. It is also associated with some genetic syndromes.
- Fertility treatments:The mother may have used hormone therapy or medicine to help her get pregnant
- The mother’s age and weight:There’s more chance a baby will be born with hypospadia if his mom is overweight and over age 35, has diabetes prior to her pregnancy.
- Expsoure to smoking or pesticides
- Premature

PRECAUTIONS
You can reduce your baby’s chances of hypospadias while you’re pregnant.
•Don’t smoke or drink alcohol.
•Don’t do Circumcision of the child with hypospadias.
•Visit your doctor.
•Keep a healthy weight.
•Take 400 to 800 micrograms (mcg) of folic acid per day.
Treatment
You can reduce your baby’s chances of hypospadias while you’re pregnant. Surgery is the only treatment available to correct hypospadias. We recommend that these operations be performed between 6 and 15 months of age, when the psychological effects of genital surgery are minimal. At UCSF Benioff Children’s Hospital, hypospadias repair is done exclusively on an outpatient basis, minimizing separation of the child from parents and reducing the cost of the procedure.
Often, repair can be achieved in a single one- to three-hour operation at UCSF’s outpatient surgery center. The goal of surgical correction is to reconstruct a straight penis with a urethral opening as close to the tip of the penis as possible. This will result in a properly directed urinary stream, straightened penis upon erection and an appearance similar to a circumcised penis. The surgery is performed under general anesthesia and often your child will be admitted and discharged from the hospital on the same day.You can reduce your baby’s chances of hypospadias while you’re pregnant. Surgery is the only treatment available to correct hypospadias. We recommend that these operations be performed between 6 and 15 months of age, when the psychological effects of genital surgery are minimal.At UCSF Benioff Children’s Hospital, hypospadias repair is done exclusively on an outpatient basis, minimizing separation of the child from parents and reducing the cost of the procedure. Often, repair can be achieved in a single one- to three-hour operation at UCSF’s outpatient surgery center. The goal of surgical correction is to reconstruct a straight penis with a urethral opening as close to the tip of the penis as possible. This will result in a properly directed urinary stream, straightened penis upon erection and an appearance similar to a circumcised penis. The surgery is performed under general anesthesia and often your child will be admitted and discharged from the hospital on the same day.
Our Doctors

Dr Obaidullah Obaid
M.B.B.S , fCPS(pLASTIC SURGERY)
Hypospadias Specialist

Mr. Junaid Ashraf
M.B.B.S. FEAPU, CPSP, FRCS(Paeds SURGERY)
Fellowship in Hypospadias