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HypospadiasHHypospadiasHypospadiasEnglishUrologyChild (0-12 years)Urethra;PenisPenis;UrethraConditions and diseasesCaregivers Adult (19+)NA2022-03-24T04:00:00Z11.400000000000040.1000000000000748.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Hypospadias is a congenital condition affecting the urinary opening of the penis. Learn about hypospadias and how it can be managed.</p><h2>What is hypospadias?</h2><p>Hypospadias is a congenital (present at birth) condition affecting the penis. It is a common birth abnormality in boys. It occurs when parts of the penis do not form completely. Sometimes when boys are born, the urinary opening of the penis (meatus) is not at the tip. Instead, it is lower on the head of the penis or along the undersurface of the penis. In more rare cases, the urinary opening is on the scrotum or at the perineum. The perineum is the area between the scrotum and the anus.</p><p>If your child was born with hypospadias, the foreskin will usually appear as a hood on the top of the penis, with no foreskin on the undersurface of the penis. The penis may also have varying degrees of curvature. Together, the hypospadias urinary opening and the curvature may affect their ability to urinate (pee) in a single straight stream. The degree of hypospadias may also affect the natural sexual function of the penis; however, fertility is usually unaffected.</p><p>There are two general types of hypospadias based on the location of the urinary opening: <a href="https://www.aboutkidshealth.ca/Article?contentid=4026&language=English">distal (mild) hypospadias</a> and <a href="https://www.aboutkidshealth.ca/Article?contentid=4027&language=English">proximal (severe) hypospadias</a>.</p> <figure class="asset-c-100"> <span class="asset-image-title">Hypospadias</span><img src="https://assets.aboutkidshealth.ca/AKHAssets/Hypospadias_overview.jpg" alt="Identification of the meatus (opening), foreskin, glans, urethra and scrotum in a normal penis and a penis with hypospadias" /><figcaption class="asset-image-caption">Usually, the opening of the urethra, or meatus, is at the tip of the penis. In children with hypospadias, the opening of the urethra can be located at various positions along the underside of the penis. The foreskin may not completely close over the head of the penis, causing a hooded penis. The location of the urinary opening can range from just below the usual position on the glans to anywhere along the undersurface of the penis.</figcaption></figure> <figure class="asset-c-80"> <span class="asset-image-title">How hypospadias forms</span><img src="https://assets.aboutkidshealth.ca/AKHAssets/How%20does%20Hypospadias%20happen.gif" alt="Animation showing the dvelopment of the penis in utero" /><figcaption class="asset-image-caption">Until the seventh week of development, all embryos have similar genitals. After the seventh week, androgens released by the testes cause the genitals to change shape and become male. Usually, the urogenital folds 'zip up' from the bottom to form the penile urethra, and the labioscrotal folds join to form the scrotum. If one or both of these processes are incomplete, hypospadias results.</figcaption></figure> <p>To see more about how hypospadias forms, visit <a href="https://www.aboutkidshealth.ca/body/interactive?module=sex-development">How Sex Development Works</a> under Conditions > Hypospadias.</p><h3>Hypospadias may not be noticed at first</h3><p>Hypospadias may not be noticed at first if the urinary opening is very close to the usual position at the head of the penis or if your child has a complete foreskin. However, in true hypospadias, the foreskin is still hooded on the back and missing on the undersurface of the penis. In either case, circumcision (if desired) should be delayed until your child has been seen by a paediatric urologist.</p><h2>Key points</h2><ul><li>Hypospadias is a condition where the urinary opening of the penis is not located at the tip of the penis.</li><li>Hypospadias is a common birth abnormality in boys. It may not be noticed at first if the urinary opening is very close to the usual position at the head of the penis.</li><li>When managing your child’s hypospadias, two main functional factors are taken into account: your child’s ability to pee in a single straight urinary stream and their ability to have natural sexual function in the future.</li></ul><h2>Causes of hypospadias</h2><p>Hypospadias occurs in approximately one in 150-300 live male births worldwide. The exact causes of hypospadias are unknown. Hypospadias may involve any number of gene abnormalities. It most often occurs alone, without any other conditions. However, hypospadias may also occur as part of a collection of additional conditions (known as a syndrome).</p><p>More recently, chemical and other factors in the environment are thought to be possible factors leading to changes during development that result in hypospadias.</p><p>For information on how the sex organs develop, see <a href="https://www.aboutkidshealth.ca/body/interactive?module=sex-development">How Sex Development Works</a>.</p><h2>Hypospadias management</h2><p>When managing your child’s hypospadias, two main functional factors will be considered:</p><ol><li>Your child’s ability to urinate (pee) with a single urinary stream that they can easily manage.</li><li>Their ability to have natural penetrative sexual function in the future.</li></ol><p>These two functions are the main goals in the management of hypospadias and will be considered when determining whether your child requires surgery. How your child’s hypospadias will be managed is also determined by the type of hypospadias that they have.</p><p>For more information on the different types of hypospadias and their management, see:</p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=4026&language=English">Distal hypospadias</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=4027&language=English">Proximal hypospadias</a></p><h2>References</h2><p>Facts about hypospadias. <em>Centers for Disease Control and Prevention</em>. Retrieved from <a href="https://www.cdc.gov/ncbddd/birthdefects/hypospadias.html">https://www.cdc.gov/ncbddd/birthdefects/hypospadias.html</a>.</p>
HypospadiasHHypospadiasHypospadiasFrenchUrologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)Urethra;PenisPenis;UrethraConditions and diseasesCaregivers Adult (19+)NA2019-09-30T04:00:00ZHealth (A-Z) - ConditionsHealth A-Z<p>L’hypospadias est un état qui touche l’ouverture urétrale du pénis. Apprenez-en davantage sur l’hypospadias et la façon de le traiter.</p><h2>Qu’est-ce que l’hypospadias?</h2><p>L’hypospadias est une malforamtion qui touche le pénis. Il arrive parfois qu’à la naissance, l’ouverture du pénis (le méat) ne soit pas située au bout. Au lieu de cela, le méat se situe plus bas sur la tête du pénis ou le long du membre. </p><p>Rarement, l’ouverture se trouve sur le scrotum ou sur le périnée. Le périnée est la zone située entre le scrotum et l’anus.</p><p>Les garçons qui naissent avec un hypospadias peuvent aussi avoir une partie du prépuce manquante. Il se peut qu’ils aient un pénis courbé, appelé chordée.</p><p>L’hypospadias est plus commun qu’on ne le croit. Seulement, les gens n’en parlent pas souvent.</p> <figure class="asset-c-100"> <span class="asset-image-title">Hypospadias</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_FR.png" alt="L’emplacement du prépuce, du gland, du méat, de l’urètre et du scrotum dans un pénis normal et dans un pénis avec hypospadias" /> <figcaption class="“asset-image-caption”">Habituellement, l'ouverture de l'urètre, ou le méat, se trouve à l'extrémité du pénis. Chez les enfants qui sont atteints d'hypospadias, l'ouverture de l'urètre peut se situer à divers endroits sur la face antérieure du pénis. Il est possible que le prépuce ne recouvre pas complètement la tête du pénis. L'emplacement de l'ouverture de l'urètre peut varier; elle peut se situer juste en dessous de l'emplacement habituel mais peut également se trouver en dessous du scrotum.</figcaption> </figure> <h3>Il se peut que l’on ne remarque pas l’hypospadias au premier coup d’œil</h3><p>Étant donné que la plupart des cas sont légers, on ne remarque pas toujours l’hypospadias à la naissance. Dans ces cas, l’ouverture urétrale n’est pas très loin du bout du pénis.</p><p>Si elle se trouve plus bas dans le pénis, on le remarque souvent peu après la naissance.</p><h2>À retenir</h2><ul><li>Chez les garçons atteints d’hypospadias, l’ouverture de l’urètre n’est pas située à l’extrémité du pénis.</li><li>La plupart des cas sont bénins, avec l’ouverture de l’urètre située près de l’extrémité du pénis. Les cas bénins peuvent ne pas être visible dès la naissance.</li><li>Si une intervention chirurgicale est requise, elle devrait être pratiquée avant que votre enfant puisse uriner debout.</li><li>Une fois l’anomalie corrigée, le pénis aura un aspect normal et fonctionnera normalement. </li></ul><h2>Réparation de l’hypospadias</h2><p>On corrige un hypospadias par la chirurgie. D’habitude, après la réparation, le pénis aura une apparence normale et fonctionnera comme il se doit. Au fur et à mesure que l’enfant grandit, le pénis se développera normalement et les fonctions sexuelles ne seront pas touchées.</p><p>La plupart des hypospadias font l'objet d'une chirurgie ambulatoire. Cela signifie que vous amènerez votre bébé ou votre enfant à l’hôpital pour une seule journée. Puis, vous retournerez à la maison avec votre enfant après la chirurgie. </p><p>C’est mieux si le bébé ou l’enfant n’a pas été circoncis (retrait du prépuce du pénis). Il arrive que le tissu du prépuce soit utile à l’opération. Il peut servir à reconstruire l’ouverture urétrale ou à couvrir l’ouverture d’origine.</p><p>Il se peut que plus d’une chirurgie soit nécessaire.</p><p>En général, les complications à la suite de la chirurgie sont rares.</p><h3>La chirurgie à un jeune âge</h3><p>Si cela est possible, l’opération sera effectuée avant que l’enfant ne puisse se tenir debout pour uriner. Certains enfants ont besoin de quelques doses de testostérone pour augmenter la taille du pénis pour la chirurgie. Cela n’a pas d’effets à long terme.</p><p>Pour obtenir de plus amples renseignements sur la façon de prendre soin de votre enfant après la chirurgie, demandez la brochure <a href="/Article?contentid=1215&language=French">Hypospadias – Prendre soin de votre enfant à la maison après la chirurgie</a>.</p>

 

 

 

 

Hypospadias883.000000000000HypospadiasHypospadiasHEnglishUrologyChild (0-12 years)Urethra;PenisPenis;UrethraConditions and diseasesCaregivers Adult (19+)NA2022-03-24T04:00:00Z11.400000000000040.1000000000000748.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Hypospadias is a congenital condition affecting the urinary opening of the penis. Learn about hypospadias and how it can be managed.</p><h2>What is hypospadias?</h2><p>Hypospadias is a congenital (present at birth) condition affecting the penis. It is a common birth abnormality in boys. It occurs when parts of the penis do not form completely. Sometimes when boys are born, the urinary opening of the penis (meatus) is not at the tip. Instead, it is lower on the head of the penis or along the undersurface of the penis. In more rare cases, the urinary opening is on the scrotum or at the perineum. The perineum is the area between the scrotum and the anus.</p><p>If your child was born with hypospadias, the foreskin will usually appear as a hood on the top of the penis, with no foreskin on the undersurface of the penis. The penis may also have varying degrees of curvature. Together, the hypospadias urinary opening and the curvature may affect their ability to urinate (pee) in a single straight stream. The degree of hypospadias may also affect the natural sexual function of the penis; however, fertility is usually unaffected.</p><p>There are two general types of hypospadias based on the location of the urinary opening: <a href="https://www.aboutkidshealth.ca/Article?contentid=4026&language=English">distal (mild) hypospadias</a> and <a href="https://www.aboutkidshealth.ca/Article?contentid=4027&language=English">proximal (severe) hypospadias</a>.</p> <figure class="asset-c-100"> <span class="asset-image-title">Hypospadias</span><img src="https://assets.aboutkidshealth.ca/AKHAssets/Hypospadias_overview.jpg" alt="Identification of the meatus (opening), foreskin, glans, urethra and scrotum in a normal penis and a penis with hypospadias" /><figcaption class="asset-image-caption">Usually, the opening of the urethra, or meatus, is at the tip of the penis. In children with hypospadias, the opening of the urethra can be located at various positions along the underside of the penis. The foreskin may not completely close over the head of the penis, causing a hooded penis. The location of the urinary opening can range from just below the usual position on the glans to anywhere along the undersurface of the penis.</figcaption></figure> <figure class="asset-c-80"> <span class="asset-image-title">How hypospadias forms</span><img src="https://assets.aboutkidshealth.ca/AKHAssets/How%20does%20Hypospadias%20happen.gif" alt="Animation showing the dvelopment of the penis in utero" /><figcaption class="asset-image-caption">Until the seventh week of development, all embryos have similar genitals. After the seventh week, androgens released by the testes cause the genitals to change shape and become male. Usually, the urogenital folds 'zip up' from the bottom to form the penile urethra, and the labioscrotal folds join to form the scrotum. If one or both of these processes are incomplete, hypospadias results.</figcaption></figure> <p>To see more about how hypospadias forms, visit <a href="https://www.aboutkidshealth.ca/body/interactive?module=sex-development">How Sex Development Works</a> under Conditions > Hypospadias.</p><h3>Hypospadias may not be noticed at first</h3><p>Hypospadias may not be noticed at first if the urinary opening is very close to the usual position at the head of the penis or if your child has a complete foreskin. However, in true hypospadias, the foreskin is still hooded on the back and missing on the undersurface of the penis. In either case, circumcision (if desired) should be delayed until your child has been seen by a paediatric urologist.</p><h2>Key points</h2><ul><li>Hypospadias is a condition where the urinary opening of the penis is not located at the tip of the penis.</li><li>Hypospadias is a common birth abnormality in boys. It may not be noticed at first if the urinary opening is very close to the usual position at the head of the penis.</li><li>When managing your child’s hypospadias, two main functional factors are taken into account: your child’s ability to pee in a single straight urinary stream and their ability to have natural sexual function in the future.</li></ul><h2>Causes of hypospadias</h2><p>Hypospadias occurs in approximately one in 150-300 live male births worldwide. The exact causes of hypospadias are unknown. Hypospadias may involve any number of gene abnormalities. It most often occurs alone, without any other conditions. However, hypospadias may also occur as part of a collection of additional conditions (known as a syndrome).</p><p>More recently, chemical and other factors in the environment are thought to be possible factors leading to changes during development that result in hypospadias.</p><p>For information on how the sex organs develop, see <a href="https://www.aboutkidshealth.ca/body/interactive?module=sex-development">How Sex Development Works</a>.</p><h2>Hypospadias management</h2><p>When managing your child’s hypospadias, two main functional factors will be considered:</p><ol><li>Your child’s ability to urinate (pee) with a single urinary stream that they can easily manage.</li><li>Their ability to have natural penetrative sexual function in the future.</li></ol><p>These two functions are the main goals in the management of hypospadias and will be considered when determining whether your child requires surgery. How your child’s hypospadias will be managed is also determined by the type of hypospadias that they have.</p><p>For more information on the different types of hypospadias and their management, see:</p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=4026&language=English">Distal hypospadias</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=4027&language=English">Proximal hypospadias</a></p><h2>References</h2><p>Facts about hypospadias. <em>Centers for Disease Control and Prevention</em>. Retrieved from <a href="https://www.cdc.gov/ncbddd/birthdefects/hypospadias.html">https://www.cdc.gov/ncbddd/birthdefects/hypospadias.html</a>.</p>https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_EN.pngHypospadiasFalse

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