Hypospadias is one of the more common birth abnormalities of the genitalia in male infants, but most families are not aware of it since the condition is rarely talked about. In a normal penis, the urine tube (urethra) travels through the shaft of the penis to an opening (meatus) located in the center of the head of the penis (glans). In boys with hypospadias, the urine tube is short and does not come out to the end of the penis. The opening could be located anywhere along the underside of the shaft of the penis or even in the scrotum. In addition, the foreskin—the loose skin that surrounds the head of the penis that is removed during circumcision—is incompletely formed and there may be a bend in the penis called a chordee. Most children with hypospadias have no other abnormalities, although inguinal hernias and undescended testes are more common in children with hypospadias than in the general population.
We have developed a robust program for the treatment of complex hypospadias and re-operative hypospadias. We have accepted referrals and challenging cases from all over New York and the country for these challenging cases. We offer staged techniques for repair as well as the use of tissue grafts to overcome the scar tissue so often seen in these cases.