Complex Hypospadias Repair

Hypospadias repair is a surgery that corrects the position of the urethra on your penis. It may be a one- or two-stage procedure, depending on severity. The procedure may take up to two hours to complete. Risks include bruising, infection, swelling, fistulas, and shortening of your penis.

Hypospadias is a congenital condition (you're born with it) in which your urethra (the tube where pee and sperm leave your body) doesn’t properly develop in your penis. Another name for the opening of the urethra is the meatus (me-ate-us). The meatus is typically at the end of your penis.

In a baby with hypospadias, their meatus forms in a different location. It may form:

• Near the head of their penis (subcoronal).
• Along their penis shaft (midshaft).
• Where their penis and scrotum meet (penoscrotal). The scrotum is the pouch of skin behind their penis that typically contains their testes.

If your child has hypospadias, they may also have congenital penile curvature (chordee) and penoscrotal transposition (a condition in which their scrotum forms above their penis). Your child’s healthcare provider may need to correct these conditions as well.

Who needs to have hypospadias repair?

If your child has hypospadias, their healthcare provider typically recommends a hypospadias repair between six months to two years after birth. However, as their parent, it’s your decision whether your child will have the repair or not.