HYPOSPADIA (syn .: lower cleft of the urethra) is a congenital malformation of the urethra, in which its external opening opens in the area of the coronary sulcus, trunk of the penis, in the scrotum or perineum. Accordingly, there are capitate, stem, penile, cervical, scrotal and perineal forms of hypospadias. Hypospadias is often accompanied by underdevelopment of the cavernous bodies of the penis, scrotum and testicles, false cryptorchidism; sometimes combined with malformations of other organs and systems.
In addition to the atypical localization of the external opening of the urethra, shortening, underdevelopment and deformation of the penis, with hypospadias, a narrowing of the urethral opening can be observed. This leads to difficulty urinating, urinary retention, secondary expansion of the ureters, renal pelvis and calyx, their atony. A characteristic symptom of hypospadias is a spray of urine, which forces patients to urinate while sitting. In adults, hypospadias makes sexual intercourse difficult or impossible. All this gradually negatively affects the neuropsychic state of patients, causing their isolation, irritability, alienation.
Surgical treatment . The prognosis for timely surgical treatment is favorable. Patients are subject to follow-up with the aim of timely referral to surgical treatment and to identify possible postoperative secondary deformities of the penis.