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Hypospadias Repair (Urethroplasty)

Surgical correction of an anomaly of the urinary canal opening.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Hypospadias Repair (Urethroplasty)?

Hypospadias is a congenital anomaly in male children in which the opening of the urethra (meatus) is located more proximally on the ventral surface of the penis than normal. Its incidence is 1/200-300 live male births. It is classified as distal (70%), midshaft (15%), and proximal (15%).

Surgical repair is usually performed as a single procedure between 6 and 18 months of age. TIP (Tubularized Incised Plate - Snodgrass), MAGPI, Mathieu, and onlay island flap are the most commonly used techniques. The aim is to bring the urethral meatus to the tip of the glans, correct chordee (ventral curvature), and obtain a cosmetically acceptable result.

In proximal hypospadias and severe chordee, staged repair (two-stage) may be required. In the first stage, the chordee is corrected and a graft is placed; in the second stage, the neourethra is created. Preoperative testosterone or DHT therapy may facilitate surgery by increasing penis size.

Symptoms

Opening of the urinary canal below the tip of the penis
Ventral curvature of the penis (chordee)
Dorsal hood prepuce (foreskin irregularity)
Downward direction of the urinary stream
Sexual dysfunction (in untreated adult cases)

Risk Factors

Urethrocutaneous fistula (5-15%)
Meatal stenosis (narrowing)
Urethral diverticulum
Residual chordee
Glans dehiscence

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When hypospadias is detected at birth (circumcision should not be performed)
  • Pediatric urology consultation for surgical timing planning
  • When fistula or stricture develops after surgery
  • If hypospadias remains uncorrected in adulthood

Treatment Methods

01
TIP urethroplasty (Snodgrass, the gold standard in distal hypospadias)
02
MAGPI (Meatal Advancement and Glanuloplasty, in very distal types)
03
Onlay island flap (in mid-proximal hypospadias)
04
Staged repair (severe proximal hypospadias and chordee)
05
Preoperative hormone therapy (testosterone/DHT, in selected cases)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.