1. Digital Urology Journal: Hypospadias A look at this disorder which occurs in about 1 out of 350 male births and what can be done about it. http://www.duj.com/hypospadias.html

HYPOSPADIAS Hypospadias is a relatively common birth defect that occurs in approximately one out of every 350 male births. It is characterized by an abnormal positioning of the meatus, the opening from which urine passes. The degree of hypospadias depends on the location of the penis opening. The defect may occur anywhere along the underside of the penis down to the scrotum. Chordee - a downward curve of the penis, especially when erect - is usually, but not always, associated with hypospadias. Boys with chordee often must sit to void. The deformity is usually mild, but severe curvature from chordee can make intercourse impossible. Males with hypospadias usually have normal testes and can father children. The cause of hypospadias is not known. The condition results from abnormal development of the urethra in the embryo and not from anything the parents did or did not do during pregnancy. Hypospadias will occasionally occur in more than one male in a family. Hypospadias can be corrected surgically. Depending on the severity, the correction can be completed in one or more operations. The best age at which to have corrective surgery depends on the size of the penis and degree of the defect. Repair is usually advised at an early age, unless the patient is not referred until he is older. Health professionals generally recommend repairing genital defects early, so patients can avoid embarrassment that can be associated with the condition. Corrective surgery usually results in a penis that looks normal and functions normally. Surgery can straighten the shaft, position the meatus at the tip of the penis, and remove the hooded foreskin. Patients are able to stand to void, and sexual activity and fertility are satisfactory. The child's hospital stay may range from a few hours in a day surgery unit to a few days or a week on an inpatient unit.

2. PedsUroLogic - Hypospadias An article by Richard M. Parker, MD as to what this is, the causes and the surgicalcorrection of this disorder. The prognosis is also discussed. http://www.pedsurologic.com/Parker/Pamphlets/Hypospadias/Hypospadias.html

Hypospadias (Penile Urethral Anomalies in the Male Child) by Richard M. Parker, M.D. If your child has hypospadias... he has a common genital defect in his penis which can be corrected with surgery. In hypospadias, the urethral opening for urination is mislocated on the underside of the shaft, rather than at the top of the penis. There may also be a bend in the penis visible during erection. Since these two defects may make urination and sexual intercourse difficult later in life, surgery is usually prescribed. The cause of hypospadias... is not yet known, but it results from lack of complete development of the urethra. The condition occurs once in approximately 350 male births , and occasionally may appear in more than one male in a family. Surgical correction of hypospadias... is a technically demanding operation which should be performed by someone experienced in genital reconstruction. Surgery is best performed at an early age (8-12 months) prior to the development of long term memory in the child. While surgery is better early in your child's life from a psychological point of view, it can also be performed at a later age when necessary. Most repairs are achieved in a single operation which may last from two to four hours. Your child will usually be able to leave the hospital on the same day as the surgery. He may need to keep a small plastic tube in the urethra while healing occurs.

3. Untitled Document An information site for parents and people with this disorder, dealing with the surgery involved, complications and emotional impact of this condition. http://www.hypospadiashelp.fsnet.co.uk/Hypospadias contents.html

Aims of the site What are Hypospadias? The Treatments Probs with surgery ... Links Updated FAQs NEW Articles/studies NEW Personal Stories Update d Advice for Parents NEW

4. Hypospadias: Parent's Guide To Surgery | Intersex Society Of North America Good information for parents of intersexed children with hypospadias. http://www.isna.org/hypospadias.html

@import "misc/drupal.css"; @import url(modules/event/event.css); home faq links contact ... agenda Our Supporters Arcus Foundation The California Endowment Gill Foundation Kicking Assets Small Change Foundation Over 1,000 individual supporters like you Sections About Board Members Emeritus Funders ... Recent Publications Featured Research Agonize, then Cut this way! Effects of Clitoral Surgery Better Browsing! Home Library Classification: Library What is hypospadias? Hypospadias refers to a urethral meatus ("pee-hole") which is located along the underside, rather than at the tip of the penis. In minor, or distal hypospadias, the meatus may be located on the underside of the penis, in the glans. In more pronounced hypospadias, the urethra may be open from mid-shaft out to the glans, or the urethra may even be entirely absent, with the urine exiting the bladder behind the penis. distal hypospadias penoscrotal hypospadias How will hypospadias affect my child? Hypospadias is essentially a cosmetic difference. A person with hypospadias may have to urinate sitting, rather than standing. He may also be prone to urinary tract infections. More important is the emotional impact of having a penis that "looks different." This is why your doctor may advocate surgery for your child's hypospadias. Our discussions with men who have had hypospadias surgery lead us to believe that the physical damage and emotional trauma of genital surgery are frequently far worse than the hypospadias itself.

5. Hypospadias Brief discussion of congenital anomalies of the penis,including hypospadias, epispadias, phimosis and paraphimosis. http://www.healthsystem.virginia.edu/uvahealth/peds_hrnewborn/hsp.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics Adolescent Medicine Allergy/Asthma/Immunology Blood Disorders Burns Cancer Common Injuries/Poison Tips Craniofacial Anomalies Dermatology Diabetes/Endo/Metabolism Eye Care Genitourinary/Kidney High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Nervous System Disorders Normal Newborns Oral Health Orthopaedics Pediatric Surgery Respiratory Disorders Terminal Illness in Children Transplantation UVa Health Topics A to Z FIND A DOCTOR MAKE AN APPOINTMENT CALENDAR OF EVENTS CLINICAL TRIALS ... WHY CHOOSE UVA Search This Site Hypospadias Epispadias, which is less common than hypospadias, may also be seen in babies with spina bifida or exstrophy of the bladder (a condition where the bladder may appear to be inside out and the abdominal wall is partially open leaving the bladder exposed to the exterior of the body), occurs when the urethral opening is in an abnormal location. In contrast to hypospadias, with epispadias, the urethral opening in male is usually located on the topside (not the underside or tip) of the penis. What is hypospadias?

6. Hypospadias & Epispadias Association | Support And Medical Information For men with this condition, who may be considering urological surgery or wantmore information. Contains personal accounts of living with hypospadias and http://www.hypospadias.org/

Welcome to the Internet home of the Hypospadias and Epispadias Association Join us as we try to lessen the stigma associated with hypospadias and epispadias and give parents the information and education needed to make informed decisions about their sons' medical care. As some of us try to heal our own emotional and physical scars, let's support one another and encourage surgeons, medical doctors and other health care providers to be aware of the incredible emotional and psychological impact that living with these conditions and undergoing genital surgery can have. Search HEA or the web The Sum of Our Parts A secret life Growing up feeling alone Hide the scars and conceal the pain. Afraid to be discovered, A master of disguise, Knowing we’re not just one-of-the-guys. One piece of our body Rarely seen by most, Yet it takes over our lives And our feelings of worth.

7. Digital Urology Journal Hypospadias hypospadias http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Hypospadias & Epispadias Association | Support And Medical Information A community of men who have this disorder, parents of children with this disorder, health professional and partners of those with hypospadias. The association is dedicated to education, support and the advocacy of issues relating to this disorder. http://www.hypospadias.net/

Welcome to the Internet home of the Hypospadias and Epispadias Association Join us as we try to lessen the stigma associated with hypospadias and epispadias and give parents the information and education needed to make informed decisions about their sons' medical care. As some of us try to heal our own emotional and physical scars, let's support one another and encourage surgeons, medical doctors and other health care providers to be aware of the incredible emotional and psychological impact that living with these conditions and undergoing genital surgery can have. Search HEA or the web The Sum of Our Parts A secret life Growing up feeling alone Hide the scars and conceal the pain. Afraid to be discovered, A master of disguise, Knowing we’re not just one-of-the-guys. One piece of our body Rarely seen by most, Yet it takes over our lives And our feelings of worth.

9. Hypospadias Parent's Guide To Surgery Intersex Society Of North Good information for parents of intersexed children with hypospadias. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. The-penis.com: Hypospadias Why it happens, what it is, what to do; see photos of hypospadias and contact others with it. Discusses androgen insensitivity, testicular feminization syndrome, development, and even ISNA. http://www.the-penis.com/hypospadias.html

The-penis.com Hypospadias Men! Living in the UK with hypospadias? Join the UK patients' group, meet others and influence treatment strategy in the UK! Click here! (Other support groups are listed below) Hypospadias: what it is and what can cause it. Support groups. The "abnormal" penis. Other pages on this site Home Penis size Penis enlargement Penis anatomy and circumcision ... Andropause or male menopause [ Hypospadias ] Peyronie's disease The testicles and scrotum Sexually transmitted diseases For gay or bi men ... Viagra on-line Other pages on hypospadias: Personal stories of living with hypospadias Support groups Hypospadias: En Français Auf Deutsch Hypospadias? A twist of fate - your penis isn't like most of the others I strongly recommend anyone with this problem to look at and join the relevant support groups (see links below) - you will learn you are not alone! Teenager with hypospadias or epispadias? Try this support group Hypospadias, which is an accident of birth, is a condition where the opening of the penis is found somewhere back along the shaft, anywhere from tip to base, and it is often accompanied by other differences such as penile twisting, a "hooked" appearance because the glans bends down, and a hooded, incomplete foreskin. There is little information about it on the net, and I hope that this page will be useful to those who have this challenge. Hypospadias may not be that well known, but for the men who experience it, the consequences can be devastating, because it strikes at the root of "normality" - and, as I suggested on the Size page, for most men, being up there with the rest of mankind is a crucial issue.

11. Hypospadias Epispadias Association Support And Medical A community of men who have this disorder, parents of children with this disorder, health professional and partners of those with hypospadias. The http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

12. UrologyHealth.org - Pediatric Conditions - Abnormalities - Hypospadias UrologyHealth.org the American Urological Association s online patient informationresource. UrologyHealth.org was written and reviewed by urology experts http://www.urologyhealth.org/pediatric/index.cfm?cat=01&topic=96

13. Hypospadias For men with this condition, who may be considering urological surgery or want more information. Contains personal accounts of living with hypospadias and links to support groups and other relevant sites. http://www.hypospadias.org/index.html

14. Hypospadias hypospadias is a birth defect found in boys in which the urinary tract opening is not at the tip of the penis. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. UrologyHealth.org Glossary: Hypospadias hypospadias (HYpoh-SPAY-dee-us). A birth defect in which the opening of theurethra, called the urinary meatus, is on the underside of the penis instead http://www.urologyhealth.org/glossary/popup.cfm?id=205

16. PedsUroLogic - Hypospadias hypospadias http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Abnormal Development Of The Penis/Male Urethra hypospadias occurs when the fusion of the urethral folds stops proximal to thetip of the The term, hypospadias, means under hypo the rent spadon. http://www.meddean.luc.edu/lumen/MedEd/urology/abnpendv.htm

Abormal Development of the Penis and Male Urethra David A. Hatch, M.D. If the fusion of the urethral folds fail to progress distally on the ventral penis, the urethra will be shortened. Hypospadias occurs when the fusion of the urethral folds stops proximal to the tip of the glans penis. The term, hypospadias, means under [hypo] the rent [spadon]. The rent refers to the appearance of the ventral glans penis. It appears to have been ripped (rent) apart. Hypospadias can occur anywhere along the urethral groove. In mild forms, the urethra opens just under the corona glandis. This is called coronal hypospadias When the internal urethral folds fail to fuse, causing hypospadias, the external urethral folds usually fail to fuse, causing a dorsal hood foreskin . Notice that the lies at an angle on the penile shaft. Occasionally, the urethra develops only to the junction of the penis and scrotum. This boy has peno-scrotal hypospadias . As in this case, severe forms of hypospadias are accompanied by shortening of the urethral groove that causes ventral tethering of the penis. This condition, called chordee , can be severe enough to make sexual function impossible.

18. Common Birth Defect Not Commonly Discussed CNN http://cnn.com/2002/HEALTH/conditions/06/24/hypospadias.defect.ap/index.html

19. Hypospadias Epispadias Association hypospadias and Epispadias Association 20032004, hypospadias Epispadias Association or HEA 240 W. 44th St. Suite 1A New York http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. EMedicine - Hypospadias : Article By John M Gatti, MD hypospadias hypospadias is an abnormality of anterior urethral development inwhich the urethral opening is ectopically located on the ventrum of the http://www.emedicine.com/ped/topic1136.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Pediatrics Urology Hypospadias Last Updated: January 31, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: chordee, penile deformity AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Differentials ... Bibliography Author: John M Gatti, MD , Assistant Professor, Department of Pediatric Surgery, Division of Pediatric Urology, Children's Mercy Hospital and Kansas University Medical Center Coauthor(s): Andrew J Kirsch, MD, FAAP, FACS , Associate Clinical Professor of Urology, Emory University School of Medicine; Fellowship Director, Department of Urology, Division of Pediatric Urology, Children's Healthcare of Atlanta; Howard M Snyder III, MD , Professor, Department of Surgery, Division of Pediatric Urology, University of Pennsylvania School of Medicine John M Gatti, MD, is a member of the following medical societies:

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