What is Hypospadias and How Can You Correct it?

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What is Hypospadias and How Can You Correct it?


Today we hope to talk to you about something a little bit uncomfortable for some, but a wonder for others. We want to talk to you about Hypospadias, which deals with the opening of the penis and the direction it opens, we’re talking about the urethra. For many of our patients, they may not have any idea this is actually a condition that affects upwards of five in every thousand newborn boys. This condition, Hypospadias, develops within a growing fetus from the first two months to three months of incubation and it deals with the opening of the urethra being anywhere but the tip of your penis. At the Australian Centre for Cosmetic/ Genital Surgery, we have male patients who suffer from this issue with the penis who are ready to present their concerns and others that are finding out about it for the first time.

Placement of the Urethra in Hypospadias

Now, it may not seem like anything out of the ordinary because everyone is made differently and it might be slightly off the normal point, but with this malformation of the urethra, it can appear anywhere from the scrotum on up—not the usual centre point on the head of the penis. There are three different placements we call out in Penile surgery that differentiate from normal and these are:

  • Subcoronal is the position that we find the opening of the urethra not exactly in the spot it’s normally placed but just slightly down from the tip of the penis. This positioning is just a bit off and could use a small adjustment.
  • Midshaft placement of the urethra’s opening is quite literally in the middle of the underside of the penis shaft.
  • Penoscrotal, where the underside of the penis shaft and scrotum meet, is where this opening is located. This is the most severe placement and can be corrected with surgery.

That’s a big difference in placement if you see it as low as the penoscrotal or even the midshaft area. Men with Hypospadias can also experience a curving of the penis which can add an alternative dimension of complications to this already inconvenient issue.

Complications Men With Hypospadias Experience

Not only does it become a sensitive point of uncomfortable conversation for men who have Hypospadias, but this placement of the opening can affect a few different things that are mechanical as well. This offset placement of the urethra opening gets in the way of things like urination and sexual functioning of ejaculation. Men with this condition often have to figure out new ways to sit on the commode while urinating, not able to stand as you would usually. For men looking to conceive children with their significant other, this can prove a little difficult if they urethra doesn’t come close to the best access point.

Usually, in babies who present with Hypospadias, we can correct this opening placement after birth, but some never have it fixed surgically, and it can carry over into their adult lives as something they’ve never spoken about with their families. At Australian Centre for Cosmetic/Genital Surgery, Prof Colin Moore will work with each patient to help them correct the issue with style and care. We can help you restore full functionality of your penis after an in-hospital surgery which is delicate but worth it. Our patients are emotional about this issue and it helps to create a better quality of life in the long run. To schedule your consultation for Hypospadias surgery and to learn about all of our male functioning treatments, call Australian Centre for Cosmetic/ Genital Surgery on 0414 251 234.

Prof Colin Moore