What is hypospadias repair?

Hypospadias is a condition present at birth in which the opening (meatus) of the urethra lies somewhere along the underside of the penis instead of at the tip. Curvature of the penis (chordee) hypospadias and an abnormality of the scrotum (penoscrotal transposition) may also be present to varying degrees.

Surgery is typically recommended between the first 6 months to 2 years after birth. The goals of the surgery are to:

  • Build a new urethra (the tube inside the penis that carries urine and semen)
  • Straighten the penis
  • Build a new opening at the tip of the penis.

Hypospadias repairs can require follow-up surgeries, sometimes fairly soon after the first one and at other times many years or decades later.

What are the categories of hypospadias repair ?

The categories of hypospadias repair are as follows:

  • Orthoplasty: Straightening of the penis
  • Urethroplasty: Rebuilding the urethra so that urine and semen will flow as far forward as possible
  • Meatoplasty/glanuloplasty: Building a new opening and reconstructing the head of the penis as necessary to accommodate the new opening
  • Scrotoplasty: Repair of the scrotum
  • Skin coverage: Getting enough skin grafts to complete all necessary hypospadias repairs

The form of treatment used will depend on the individual conditions of the patient. There are currently more than 200 known procedures for fixing hypospadias. After puberty, repair is made in two stages that are spaced 4 to 6 months apart. Most commonly, the skin in the mouth is used for the repair.

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