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Hypospadias Surgery: Symptoms, Classification, Diagnosis & Recovery

Hypospadias repair is a surgical procedure aimed at correcting the urethra's positioning on the penis. The surgery can be either one or two stages, determined by the severity of the condition, and typically lasts up to two hours. Potential risks associated with the procedure include bruising, infection, swelling, fistulas, and possible shortening of the penis. However, most individuals achieve full recovery within six weeks.

Hypospadias is a congenital condition where the urethra, the tube responsible for urination and ejaculation, doesn't properly develop in the penis. The opening of the urethra, also known as the meatus, is usually located at the tip of the penis. However, in babies with hypospadias, the meatus may form in a different location, such as near the head of the penis (subcoronal), along the shaft (midshaft), or where the penis and scrotum meet (penoscrotal). Additionally, children with hypospadias may also have congenital penile curvature (chordee) and penoscrotal transposition, where the scrotum forms above the penis. Correction of these conditions may be necessary as determined by the child's healthcare provider.

Who should undergo Hypospadiasis?

If your child has hypospadias, their doctor recommends a hypospadias repair when they are between six months and two years old. However, as the parent, you have the final decision on whether your child will undergo the procedure.

The primary symptom of hypospadias is that the meatus is not located at the tip of the penis. Additional symptoms of hypospadias may include:

Difficulty urinating: The urine stream may not be straight and could spray to the sides or downward, potentially causing irritation and discomfort to surrounding tissues.

Incomplete foreskin development: The foreskin may only partially cover the penis. If the foreskin is underdeveloped, circumcision should be avoided, as a healthcare provider may need to use a piece of it during surgery.

Chordee: This condition involves a downward curvature of the penis.

Undescended testicles: One or both testicles may not have descended into the scrotum.

Following are the signs and symptoms before undergoing Hypospadias Surgery:

  • Physical Examination: A thorough examination of the genitalia to determine the location of the meatus, the presence of chordee (penile curvature), and the development of the foreskin.
  • Ultrasound: An ultrasound of the genitourinary system may be performed to check for other abnormalities, such as undescended testicles or issues with the urinary tract.
  • Uroflowmetry: This test measures the flow rate of urine to evaluate any urinary obstruction or difficulties in urination.
  • Voiding Cystourethrogram (VCUG): This imaging test involves filling the bladder with a contrast dye and taking X-rays while the child urinates. It helps identify any abnormalities in the urinary tract.
  • Hormonal and Genetic Testing: In cases of severe hypospadias or associated anomalies, hormonal or genetic tests may be conducted to rule out underlying conditions such as intersex variations or hormonal imbalances.
  • Endocrine Evaluation: If there are signs of hormonal imbalance or atypical genitalia, an endocrine evaluation might be recommended to assess hormone levels and function.

After hypospadias surgery, your child will be moved to a recovery room where the doctor will monitor their overall health as they wake up. Most hypospadias repair procedures are outpatient, so your child can go home the same day.

The doctors and nurses will provide instructions on caring for your child during the first week of recovery. They may also prescribe medication to relieve pain.

You can take them home once the healthcare providers determine that your child is healthy and no longer requires monitoring.

Best Hypospadias Surgery Hospitals

Prince Court Medical Centre

Prince Court Medical Centre

Kuala Lumpur, Malaysia

At the center of Kuala Lumpur, Malaysia, lies a 270-bed private medical facility called Prince Court...more

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Alvina Hasan
Author

M.Pharm

2 Year of Experience

Last Reviewed - June 2026

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University.

With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven content designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding.

Readers can explore her published research and articles here:

https://carcinogenesis.com/index.php/JOC/article/view/868

https://carcinogenesis.com/index.php/JOC/article/view/870

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Dr. Ashish George
Reviewer

Gastroenterologist

18 Years of Experience

Last Reviewed - June 2026

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh.
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