What is it?

This condition affects boys and is characterized by proximal position of the urethral meatus in the ventral surface of the penis or even on the scrotum. Common comorbidities are chordee (curvature of the penis), undescented testicles and inguinal hernias.

The procedure

I use the Snodgras technique to create a new urethral meatus and correct the penile curvature. In cases of distal (scrotal) hypospadias, I prefer a two-staged approach as described by Bracka.


Although the reconstruction used to be performed after boy was able to urine on his own, nowadays early treatment (1 year of age) seems to benefit toddler in terms of better psychosomatic development.





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