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Hypospadias (6319)

Hypospadias (6319) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary



Hypospadias is a birth defect found in boys.
The urethra, the tube that urine comes out of
the body through, does not come out at the
tip of the penis. The urethra can be seen on
the shaft of the penis or below the scrotum.
Hypospadias can also occur with a defect
called chordee. Chordee is a downward
curve of the penis. Chordee is not always
noticeable and may only be seen when the
penis is erect.


Hypospadias is common and occurs in 1 out
of 300 male births. Sometimes this runs in
families. The exact cause for this is not
fully known. Hypospadias is normally
found during an exam after birth.
Circumcision is not done until an exam is
done by the urologist. This is because the
foreskin can be used to rebuild the urethra
during surgery.

Hypospadias is treated with surgery. It is
usually not done until your child is 6-12
months old. The exact age of repair depends
on the size of the penis and how severe the
defect is. If your child has chordee, this is
repaired at the same time as the
hypospadias. Your surgeon will talk with
you about surgery at the time of your clinic

The goals of surgery are to straighten the
bend of the penis and bring the urethra to the
tip of the penis where it should be.
Treatment is important because a straight
penis is needed for normal reproductive
health and sexual function. If not treated, it
can be harmful to a boy’s normal social
growth and development.

Care After Surgery

After surgery, your child will go to the
recovery room. Most children go home the
same day or the next day.

Most boys have a small tube coming out of
the opening of their penis. This tube is
called a stent. The stent protects the new
urethra and allows for proper healing. It is
sewn into the penis and is gently removed
by your surgeon at the follow-up visit.
Once the stent is removed, your child will
begin sitz baths 3 times per day at home.
This is reviewed with you before he goes
home from the hospital. He is not able to
take tub baths until the stent is removed.

Your child’s penis will have a clear sticky
dressing wrapped around it. Put bacitracin
ointment on the tip of the penis until the
clear dressing comes off. Once the dressing
falls off, stop the bacitracin. Do not put on a
new dressing. You will notice a lot of
redness, swelling and bruising of the penis
and some spotty bleeding along the wounds.


No strenuous activity or straddling toys for 2
weeks after surgery. It is best to try and
keep your child flat as much as possible for
24 hours. Walking, lying or crawling are the
other best positions. Try not to have him sit
all day.

When to Call the Doctor

ξ Bleeding (spotting is OK).
ξ Pus or foul smelling drainage from
wound or penis.
ξ Fever over 101.5 θF under the arm.
ξ Pain not relieved by the pain
ξ Signs of dehydration.
o Less than 3 wet diapers/voids
in 24 hours.
o Dark yellow urine.
ξ No bowel movement for 3 days.

Phone Numbers

Pediatric Urology Clinic: Monday to
Friday 8:00am-4:30pm (608) 263-6420
Toll free: 800-323-8942

After hours and weekends, the clinic number
is answered by the paging operator. Ask for
the Urology Resident on call. Leave your
name and phone number with the area code.
The doctor will call you back.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright ©2/2017. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6319.