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Male Genital Reconstruction & Hypospadias Repair

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Pediatric urologists are surgeons who specialize in the medical and surgical treatment of genitourinary tract disorders, including male genital reconstruction.  Hypospadias is a relatively common congenital abnormality where the urinary opening is not at the normal position at the tip of the penis and the penis may be bent abnormally downward.  Hypospadias can range from mild to severe.  Our pediatric urology team at Children’s Health is well known for its expertise in treating all types of congenital penile anomalies.  

What to Expect

At your child’s clinic evaluation a history and physical exam will be performed.  Usually the diagnosis is made with just the history and physical exam but occasionally other tests may be needed.  If surgery is recommended, it will be explained thoroughly and a date for surgery can usually be selected that day immediately after the clinic evaluation.  

Reconstructive Surgery

The surgery needed depends on the condition and the severity of that condition.  For example, in children with mild hypospadias, surgical repair is relatively straightforward with low risk of complications and can be performed on an outpatient bases.  However, for children with very severe hypospadias, surgical correction may take two or more surgeries scheduled several months apart and the risk of surgical complications is higher.  For more information on specific surgeries see the conditions below.  

About Male Genital Development

Development of the male genitalia begins long before a child is born.  Through a complex cascade of hormonal signals and events, the male genitalia develop.  If this process is disrupted at any point or if the correct amount of hormones are not present, anomalies can occur.  For example, if the urethra fails to form a tube all the way to the tip of the penis, hypospadias occurs.  

Conditions We Treat

  • Ambiguous Genitalia
  • Circumcision
  • Congenital Concealed or Buried Penis
  • Congenital Penile Curvature (Chordee)
  • Congenital Penile Torsion
  • Epididymal Cyst Spermatocele
  • Epididymitis
  • Epispadias
  • Hernia
  • Hydrocele
  • Hypospadias
  • Meatal Stenosis
  • Micropenis
  • Phimosis
  • Posterior Urethral Valves (PUV)
  • Testicular Torsion
  • Torsion of the Appendix Testis & Appendix Epididymis
  • Undescended Testicle (Cryptorchidism)
  • Urethral Stricture
  • Varicocele