Hypospadias treatment - diagnosis and surgical correction - Warsaw
Hypospadias is a congenital malformation of the urogenital system in boys, in which the urethral opening is abnormally located on the underside of the penis. This can affect the way urine is passed and - in the future - sexual function. If you notice irregularities in the structure of a child's genitals, it is worth consulting a specialist. At OpenMed in Warsaw (Wola) we provide diagnosis and treatment of hypospadias and qualification for surgical treatment, with a clear management plan and care at every stage.
Hypospadias results from disturbances in the development of the urethra during foetal life. Under normal conditions the urethral opening is located at the tip of the glans. In hypospadias it is shifted downwards, which may coexist with other abnormalities such as curvature of the penis or incomplete development of the foreskin.
Types of hypospadias
The severity of the malformation depends on the location of the urethral opening. In practice, we distinguish:
- glanular hypospadias - the opening is located within the glans,
- penile hypospadias - the opening is located on the shaft of the penis,
- scrotal or perineal hypospadias - more severe cases, where the opening is in the area of the scrotum or perineum.
Identifying the type of hypospadias is important for planning treatment and possible surgical correction.
General surgery at OpenMed
Consult on hernias, skin lesions, wound healing, or qualification for a surgical procedure.
Symptoms and when to see a doctor
Hypospadias is usually diagnosed shortly after birth. The symptoms may be visible to the naked eye, although their severity varies. Most often the abnormal position of the urethral opening is observed, along with an altered penile shape and an unusual urine stream that may be directed downwards or to the sides.
In some cases, curvature of the penis also occurs, which can make passing urine in a standing position difficult. Even milder forms of the malformation are worth discussing with a specialist, because the decision to treat depends not only on appearance but also on urinary function.
What does diagnostics look like at OpenMed?
The basis of diagnosis is a physical examination performed by a paediatric surgeon. Our specialists assess the location of the urethral opening, the structure of the penis, and any coexisting abnormalities. In most cases there is no need for advanced imaging studies.
During the consultation we discuss the possible treatment scenarios, the timing of its commencement, and the course of further management with the parents. It is essential to calmly explain the situation and answer the questions that often arise at this stage.
Treatment and further management
Treatment of hypospadias is surgical and involves reconstructing the proper course of the urethra and - if necessary - correcting penile curvature. The optimal time for treatment usually falls in early childhood, which allows the best functional and aesthetic results to be achieved.
At OpenMed we carry out qualification for surgical treatment and preparation for the procedure. We discuss the scope of surgical intervention, possible methods, and the course of recovery. After the procedure, monitoring of healing and further specialist care are key to ensuring the child's proper development.
Care and support for parents
A diagnosis of hypospadias often raises concern. At OpenMed we focus on calm, factual communication and clear explanation of every stage of treatment. Our doctors help parents understand when intervention is necessary and what the realistic treatment options are.
Hypospadias treatment - FAQ
Not always. In mild cases, the decision to treat depends on urinary function and the severity of the malformation.
The procedure is most often performed in the first years of a child's life, but the exact timing is decided by the doctor.
It is a standard urological procedure in children. The risk of complications is discussed individually during qualification.
In most cases, properly performed treatment allows for normal urination and proper development.
It is worth bringing any previous medical documentation or hospital discharge papers if the child has already been assessed. The child's health record and any test results are also helpful.
Recovery time depends on the severity of the malformation and the scope of surgery. The doctor outlines a detailed post-operative care plan - it typically includes several weeks of restricted activity and wound healing follow-up.