Some patients with hypospadias do not undergo any treatment besides observation, due to no symptoms or patient / family preference. Surgical treatment of hypospadias and chordee can change the appearance of the penis and is desired by some patient / families after discussion with their doctor.
No medicine will correct a chordee or hypospadias, and the child is not expected to outgrow these anatomical conditions.
Surgery can often correct hypospadias. The care team may recommend surgery to:
- Bring the urethral opening to the tip of the penis. This allows a controlled stream of urine while standing.
- Straighten the penis (if chordee is present) to minimize the risk of painful intercourse later in life.
A pediatric urologist may need to use the foreskin as part of the surgical repair, so these children are not recommended to have a circumcision at birth. Surgical repair usually takes place after 4 to 6 months of age, however it can be done later.
The surgery is usually done on an outpatient basis while the patient is asleep, under general anesthesia. In the more severe forms of hypospadias, the surgical repair may be done in multiple stages.