Article: Hypospadias: Parent’s Guide to Surgery

“Hypospadias refers to a urethral meatus (“pee-hole”) which is located along the underside, rather than at the tip of the penis. In minor, or distal hypospadias, the meatus may be located on the underside of the penis, in the glans. In more pronounced hypospadias, the urethra may be open from mid-shaft out to the glans, or the urethra may even be entirely absent, with the urine exiting the bladder behind the penis.”

“Hypospadias is essentially a cosmetic difference. A person with hypospadias may have to urinate sitting, rather than standing. He may also be prone to urinary tract infections.

More important is the emotional impact of having a penis that “looks different.” This is why your doctor may advocate surgery for your child’s hypospadias. Our discussions with men who have had hypospadias surgery lead us to believe that the physical damage and emotional trauma of genital surgery are frequently far worse than the hypospadias itself.

Hypospadias does not in itself cause infertility. Infertility may be present in the more extreme forms of hypospadias, where the testes are irregular and cannot produce viable sperm. Hypospadias surgery cannot make an infertile male fertile.

A hypospadic penis is entirely capable of pleasurable sexual sensation and orgasm. Plastic surgery on the genitals damages erotic sensation; it cannot improve it. There are some conditions however, which may require surgery to save your child from pain or illness, such as chordee which bends the penis causing painful erections, exposed mucous membrane, or adhesions.”

Again, my stance (in most cases) is wait until puberty, and let the child decide.

men talking about their hypospadias

It seems as if either way… If you choose to have the surgery done on your child or not, your son’s penis will still look different and either way he won’t like the choice you made…. My take is that the decision should be left to the child… The possibility of the surgery causing more damage is too great a risk.


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