In this condition, the opening of the urinary passage is
on the under surface of the penis. Besides, there is usually a downward bending or curvature of the penis. In severe
degrees of hypospadias, the opening of the urethra may
be at the junction of the penis and scrotum, or even further backwards, on the scrotum or in front of the anus. In
such cases, the scrotum may be divided by a deep cleft into
two parts (bifid scrotum). If, in addition, one or both the testes are missing from the scrotum, the surgeon will have to
determine the sex of the child as it may be an ‘intersex’
TREATMENT: Hypospadias can be corrected surgically, either in a single surgery or in 2
stages, depending on
the surgeon. An average hospital stay of 10 days is
necessary. The ideal age for surgery is between 8 and 18 months.
Circumcision should be categorically avoided in babies
with hypospadias as the excess foreskin heaped on the penis
is used to construct the deficient urethra.
All the procedures should be completed before the child starts attending school.
11 February, 2013