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Hypospadias (urine opening not at the tip of the penis)

Also called: Hypospadias, epispadias, chordee, urine opening not at tip of penis

A birth difference where the urine opening is on the underside of the penis instead of the tip, sometimes with a downward curve. Surgery in the first 6 to 18 months usually fixes it.

CommonAbout 1 in 200 boys
SurgeryUsually 6 to 18 months
ImportantNo circumcision before seeing a urologist

Overview

The foreskin may be used in the repair.

It's found at birth. Mild cases near the tip may not need surgery.

Surgery is usually one operation, done as day surgery, with a small catheter for a few days.

Symptoms

Common signs:

  • Urine opening not at the tip

Less common

  • Curved penis
  • Spraying urine stream

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayCan't pee.
See a doctor soonPlan surgery.

Causes

Born with it.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.
  • It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

  • Family history

Diagnosis

Exam at birth.

Treatment

See a pediatric urologist.

Self-care

  • Delay circumcision
  • Diaper normally before surgery
  • After surgery: follow catheter and bathing instructions
  • Give pain medicine as directed

Prevention

To lower your risk or prevent problems:

  • Avoid smoking in pregnancy

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a urologist (urinary tract doctor).

Children, pregnancy, and older adults

  • Teens: Some may need a check later if the curve returns.

Outlook

Fixable.

Most boys have normal function and appearance after repair.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Will he need more than one surgery?
  • How will peeing and future fertility be affected?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Hypospadias (urine opening not at the tip of the penis)

Sources

Last updated 2026-11-12.