The urinary opening (urethral meatus) is located on the underside of the penis instead of at the tip. The meatus can be positioned anywhere from just under the tip of the penis to below the testicle sack (scrotum), so the severity of this abnormality varies. Hypospadias is associated with downward curvature of the penis on erection, which also varies depending on the location of the meatus.
Multiple techniques are used to correct hypospadias, depending on the severity of the abnormality and the preference of the surgeon. Most hypospadias procedures are successful, resulting in a normal appearing and functioning penis.
REPAIR OF THE HYPOSPADIAS FAILURE:
Complications are possible with any operation, including hypospadias. The repair of patients who have had multiple previous failed hypospadias operations requires even greater expertise. Skin grafts and staged operations are often necessary. A team approach by experienced surgeons helps to achieve a successful result. With severe deformities, the staged split -thickness-skin graft urethroplasty repair is very successful. (See my published article in the Journal of Urology in January 1995, Volume 155, page 131).
If you have any questions about hypospadias surgery please feel free to contact Board Certified Plastic Surgeon, Board Certified Urologist Dr. Gary Alter at his Manhattan, New York or Beverly Hills, California office.