Hypospadias

Access exceptional care for hypospadias at Montefiore Einstein Urology at the Children’s Hospital at Montefiore Einstein (CHAM). As a leader in Urology, we are an academic-based referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.

Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of specialists is passionate about uncovering diagnostic approaches and treatments that can improve outcomes.

At Montefiore Einstein Urology, you can expect compassionate research-based treatment plans that meet the highest standards for quality and safety. We are committed to ensuring your child will receive the best patient- and family-centered care in a supportive and nurturing environment.

When you want only the best for your child, turn to our dedicated providers who will develop a highly personalized treatment plan.

Montefiore Einstein offers the following content from Healthwise’s health information library.

What Is Hypospadias

Hypospadias is a congenital malformation in which the urethra (the tube that drains urine from the bladder) is on the underside of the penis rather than at the tip. A child with hypospadias may also have a curved penis and foreskin abnormalities. According to the Centers for Disease Control, hypospadias is a common birth defect, affecting about one in every 150-300 baby boys born in the United States. Typically diagnosed at birth, this condition can cause difficulty urinating in some children.

Causes of Hypospadias

The exact cause of hypospadias is unknown. Some factors that affect the chance of having a baby with hypospadias include:

  • Maternal age of 30 years or older
  • Maternal BMI classified as overweight or obese
  • Use of assisted reproductive technology to conceive
  • Maternal use of certain hormones (progestins) just before or during pregnancy
  • Genetic factors

Signs & Symptoms of Hypospadias

Many patients with mild forms of hypospadias may not have any associated symptoms. However, among children with hypospadias, symptoms may include:

  • Difficulty controlling or directing the stream of urine
  • Downward curvature of the penis
  • Urethral opening on the underside of the penis instead of the tip

Diagnosing Hypospadias

Hypospadias is usually discovered during a newborn’s physical examination, except in very mild or asymptomatic cases where hypospadias may not be discovered until later in life.

Treating Hypospadias

Many cases of hypospadias are treated surgically. In surgical treatment, the opening of the urethra is repositioned and any related abnormalities are corrected, including straightening of penile curvature and removal of hooded foreskin. Surgery is often performed in the child’s first year.