HYPOSPADIA (syn .: urethral cleft of the urethra) is a congenital malformation (urethra) of the urethra, in which its external opening opens in the area of the coronal sulcus, the shaft of the penis, in the scrotum or perineum. Correspondingly, capitate, stem, penis, scrotal and perineal forms of hypospadias are distinguished. Hypospadias is often accompanied by hypoplasia of the cavernous bodies of the penis, scrotum and testicles, and false cryptorchism; sometimes combined with the 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 opening of the urethra can be observed. This leads to difficulty urinating, urinary retention, secondary expansion of the ureters, the renal pelvis and calyx, and their atony. A characteristic symptom of hypospadias is splashing of a stream of urine, which causes patients to urinate while sitting. In adults, hypospadias hinders or makes sexual intercourse impossible. All this gradually negatively affects the neuropsychological condition of patients, causing their isolation, irritability, and alienation.
Surgical treatment . The prognosis for timely surgical treatment is favorable. Patients are subject to follow-up in order to timely referral for surgical treatment and identify possible postoperative secondary deformities of the penis.