Is surgery necessary?
Cases of hypospadias in boys vary in severity – the vast majority are minor and do not require surgical alterations for a boy/man to live normally. (1, 13, 23) In fact, there are multitudes of adult men the world over who were born with hypospadias, have never been surgically altered, and they function just fine. They are able to pee standing up, and engage in intercourse with no issues. They are able to reproduce equally as well, as semen leaves the penis in relatively the same area as it otherwise would during intercourse. Approximately 70% of hypospadias cases are those in which the urinary opening is on the bottom side of the glans. (1, 13, 18, 32, 36)
There are also healthy adult men born with more rare forms of hypospadias (further down the shaft, or near the scrotum for example) who are happy with their intact body and never chose to be surgically altered. (1, 13, 23, 29) They may urinate while sitting down, and may need alternative methods for procreation (to effectively place semen into a female partner, for example). But their penis functions fully as any other would. Men with severe hypospadias continue to experience vascocongestion (erection) and orgasm (muscle contraction) the same as any other man.