Type of Surgery
Last updated: 02/17/2009
Hypospadias repair in both boys and girls has a high rate of long-term success. In almost all cases, the affected children are able to have normal sexual intercourse as adults, and almost all are able to have children.
Hypospadias repair is surgery to correct a birth defect in boys in which the urethra does not properly exit the tip of the penis.
For information on the condition itself, see: Hypospadias.
The surgery is done while the child is under general anesthesia (asleep and pain-free). The type of repair depends on the severity of the defect. Mild defects may be repaired in a one procedure, while severe defects may require two or more procedures.
A small piece of foreskin, or tissue from another site, can be used to create a tube to extend the length of the urethra. The urethra is the tube that releases urine from the body. Extending the length allows an opening to be placed at the tip of the penis.
Circumcision should not be performed at birth in boys with hypospadias, so that the foreskin can later be used for the repair.
As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.
-Dr. Evan Vapnek
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