At MU Health Care, your child receives expert care for hypospadias — with experienced surgeons and a team that supports your family every step of the way.

Hypospadias is a condition present at birth where the opening of the urethra is not located at the tip of the penis. This can affect urination and, later in life, sexual function. Hypospadias is common and treatable with surgery — often during infancy.

At MU Health Care, our pediatric urologist treats a high volume of hypospadias cases and is an expert in surgical repair. We can help you understand your options and provide detailed guidance on surgery, recovery and long-term outcomes.

Pediatric Hypospadias Symptoms

Hypospadias is usually diagnosed shortly after birth during a routine physical exam.

Signs of hypospadias may include:

  • The urethral opening appears on the underside of the penis, instead of on the tip
  • A downward curve in the penis (called chordee)
  • An abnormal urine stream
  • A hooded appearance to the foreskin

In most cases, symptoms do not cause pain.

When to Seek Care

If your child was diagnosed at birth or has visible symptoms later in infancy, your child’s pediatrician may refer you directly to a pediatric urologist. An evaluation can help determine whether surgery is needed.

Pediatric Hypospadias Diagnosis at MU Health Care

If your child has this condition, they will typically be diagnosed as a newborn. However, if hypospadias is more subtle, it may be noticed later on.

Our team may use the following methods to diagnose hypospadias:

  • A physical exam by a pediatric urologist
  • Review of family history or any prior surgeries, if applicable

We help you understand the specifics of your child’s condition and whether surgery is appropriate.

Pediatric Hypospadias Treatment at MU Health Care

Surgery is the most effective treatment for hypospadias. In most cases, it’s performed when your child is between six and 18 months of age. This when healing is most optimal and your child is less likely to remember the experience.

Hypospadias surgery isn’t just about appearance. It helps make sure your child can urinate properly, avoids complications in puberty and reduces pain during erections later in life.

Surgical Repair for Hypospadias

The goal of hypospadias surgery is to:

  • Move the urethral opening to the correct position.
  • Straighten the shaft of the penis, if needed.
  • Create a more typical appearance and function.

Most hypospadias repair surgeries are completed in one procedure, though complex cases may require more than one. We use dissolvable stitches and child-sized instruments to reduce discomfort and recovery time.

What to Expect During Hypospadias Surgery

  • Your child will be under general anesthesia for the procedure
  • Children go home the same day
  • A catheter or stent will be temporarily placed to help with healing
  • Your care team will provide detailed aftercare instructions

We will address any concerns regarding appearance, future fertility or function during your visits, including what to expect now and later in life so you can make informed decisions about your child’s health and well-being.

What Happens After Surgery

Recovery at home usually takes about one to two weeks. Your child may need:

  • Mild pain medication to manage discomfort
  • Antibiotics to prevent infection
  • Diaper care adjustments or sponge baths until the stent or catheter is removed

Because your child is still growing, we’ll continue monitoring for complications like strictures or fistulas and adjust care as needed.