1. Digital Urology JournalHypospadias 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

2. What Is Hypospadias What is a hypospadias? hypospadias is a birth defect found in boys in which the urinary tract opening is not located properly at http://www.uro.com/hypospad.htm

Hypospadias What is a hypospadias? Why should hypospadias be treated? How is hypospadias treated? What are the possible complications of hypospadias repair? What is a hypospadias? Hypospadias is a birth defect found in boys in which the urinary tract opening is not located properly at the tip of the penis, this occurs in about 1 in 100 male births. When a boy is born with hypospadias, there is a 20% chance of finding hypospadias in another family member, such as a father or a brother. There are varying degrees of severity of hypospadias and several different surgical procedures to correct it, depending upon the type. "Chordee", a bending of the penis on erection, sometimes occurs with hypospadias. In this case, hypospadias repair and chordee repairs are performed at the same time. Hypospadias surgery will be performed to extend the urinary tube (urethra) to the end of the penis, while the chordee repair will straighten out the penis. Why should hypospadias be treated?

3. Hypospadias & Epispadias Association The hypospadias and Epispadias Association (HEA) is founded for the education and support of males with these conditions. This Association http://www.hypospadias.net/

The Hypospadias and Epispadias Association (HEA) is founded for the education and support of males with these conditions. This Association is also open to their parents and family members, their partners and health professionals interested in the many physical and emotional issues stemming from these congenital conditions. The HEA exists to: Increase public awareness of hypospadias and epispadias Develop an understanding of the issues related to these conditions Assist men with hypospadias and epispadias to create positive body images Promote healthy emotional lives Relieve the secretive burden that these conditions can impose on boys and men Educate parents and adult men regarding treatment options that are available for these conditions visitors to home page since 2/1/04

4. PedsUroLogic - Hypospadias 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. his penis which can be corrected with surgery. In hypospadias, the urethral opening for urination is mislocated on the 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.

5. Hypospadias hypospadias. What Every Parent Should Know. TERRY W. HENSLE, M.D. STEVEN Y. TENNENBAUM, M.D. ELIZABETH A. REILEY, M.D. Babies Childrens Hospital. ColumbiaPresbyterian Medical Center. New York, NY http://cpmcnet.columbia.edu/dept/urology/pediatric/hypospadias.html

Hypospadias What Every Parent Should Know TERRY W. HENSLE, M.D. STEVEN Y. TENNENBAUM, M.D. ELIZABETH A. REILEY, M.D. Columbia-Presbyterian Medical Center New York, NY 10032 (212) 305-4421 fax CONTENTS WHAT IS IT? WHEN DOES IT HAPPEN? HOW DOES IT HAPPEN? HOW IS THE DIAGNOSIS MADE? ... WHAT ARE THE RESULTS? WHAT IS IT? Hypospadias is one of the more common birth abnormalities of the genitalia among male infants. It’s not a condition that people talk about very much, so most families are unaware of its existence. The term "hypospadias" comes from Greek (hypo, under and spadias, rent) and refers only to the location of the opening through which the child urinates. 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). The foreskin is the loose skin that surrounds the head of the penis and is the part that is removed during circumcision. 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. Fortunately, almost 90 percent of hypospadias cases are minor with the urethral opening on or just below the head of the penis. The remaining are more severe, producing some degree of functional difficulty with both voiding and sexual activity. WHEN DOES IT HAPPEN?

6. Hypospadias hypospadias. What is hypospadias? The official website about hypospadias and Epispadias. hypospadias Epispadias Association Web Site. http://www.hypospadias.org/

Hypospadias What is hypospadias? It's male birth condition where a baby boy is born with a penis not like the average. However - there is no such thing as a typical hypospadias - it may involve any or several of the following variations on the "normal" penis: Small penis size - large penis size - a twist along the length of the shaft - the urethral opening on the bottom of the glans - the urethral opening on the shaft - the urethral opening at the junction of glans and shaft - the penis glans bent downwards - a hooded foreskin - penis leaning to left or right - a flattened, wide glans - a normal shaped glans - urethral opening like a slit - urethral opening like a hole; etc etc. Epispadias is another aspect of penis development, where the opening of the urethra is on the top of the penis shaft and the bladder may be outside the body when a baby is born. Hypospadias and epispadias have some features in common, and the support groups work together, since many of the issues are the same for guys with either problem. Read on down this page for more information Epispadias What is epispadias?

7. Untitled Document Aims of the site What are hypospadias? The Treatments Probs with surgery. Other Problems updated 2004 Glossary. Links Updated FAQs NEW. 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

8. Hypospadias hypospadias. What Is hypospadias? hypospadias is a common congenital anomaly(birth defect) of the penis. The urethral opening (meatus) is at or just below the junction where the glans joins the shaft http://www.pedsurology.com/hypospad.htm

Hypospadias What Is Hypospadias? Hypospadias is a common congenital anomaly(birth defect) of the penis. The urethral opening (meatus) is at or just below the junction where the glans joins the shaft of the penis. It can, however, be as far back as the scrotum. In addition, boys with hypospadias are often missing the undersurface half of their foreskin so that forms a hood. There is often a bend (called chordee) in the erect penis. What Causes It? Hypospadias results from incomplete development of the urethra. It is sometimes inherited. Other than inherited cases, the cause is usually not known. Why Is It Important? Hypospadias may cause deviation of the urinary stream so that the boy is forced to sit to urinate. Additionally, sexual function may be hampered by the location of the urethral opening or by the bend in the penis. Can A Circumcision Be Performed? No. A circumcision should not be performed during the newborn period. The foreskin may be needed for the repair of the hypospadias. Can It Be Corrected?

9. Hypospadias hypospadias. What is hypospadias? hypospadias is a birth defect found in boys in which the urinary tract opening is not at the tip of the penis. Bending of the penis on erection may be associated and http://www.pedisurg.com/PtEduc/Hypospadias.htm

HYPOSPADIAS What is hypospadias? Hypospadias is a birth defect found in boys in which the urinary tract opening is not at the tip of the penis. Bending of the penis on erection may be associated and is known as chordee. Hypospadias occurs in about 1 in 100 to 1 in 200 boys. When we see a boy with hypospadias there is a 20% chance of finding this in another family member such as father or a brother. There are different degrees of hypospadias, some minor and others more severe. We name the types of hypospadias according to their anatomic location, but one must always determine whether or not there is associated chordee. Why does hypospadias need to be repaired? Surgical correction of hypospadias involves straightening of any chordee and then extension of the urinary tube (urethra) out to the tip of the penis (the glans). The ability to stand and urinate is important for boys. When the urethra opens before it reaches the glans a boy may be unable to stand and urinate with a direct stream.The youngster who has to sit down to urinate on a toilet is at a painful social disadvantage. A straight penis is necessary for satisfactory sexual function. Although this may not seem to be an important matter in childhood, this is a crucial concern later in life. Early childhood is generally the best time for correction of hypospadias and/or chordee. How are hypospadias and chordee repaired?

10. Cryptorchidism And Hypospadias In Sons Of Gardeners And Farmers A study of the occurrence of cryptorchidism and hypospadias, pointing to the use of gardening chemicals as a potential cause. http://ehpnet1.niehs.nih.gov/docs/1998/106p793-796slothweidner/abstract.html

Advanced Search Become a Print Subscriber Subscribe online today! Subscriber Services Buy EHP Publications View Shopping Cart Advertising Information ... Purchase This Issue Cryptorchidism and Hypospadias in Sons of Gardeners and Farmers Ida Sloth Weidner, Henrik Møller, Tina Kold Jensen, and Niels E. Skakkebæk Department of Growth and Reproduction, Copenhagen University Hospital, Copenhagen, Denmark Centre for Research in Health and Social Statistics, The Danish National Research Foundation, Copenhagen, Denmark Abstract Key words : case-control studies, cryptorchidism, hypospadias, pesticides. Environ Health Perspect 106:793-796 (1998). [Online 12 November 1998] http://ehpnet1.niehs.nih.gov/docs/1998/106p793-796slothweidner/ abstract.html Address correspondence to I. Sloth Weidner, Department of Growth and Reproduction, 5064 Blegdamsvej 9, DK-2100 Copenhagen Ø, Copenhagen University Hospital, Copenhagen, Denmark. We thank Lisbeth B. Knudsen, Statistics Denmark, for her help and advice on the project.

11. 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 Hypospadias: what it is and what can cause it. Support groups. The "abnormal" penis. Other pages on this site Home Penis size Penis anatomy and circumcision Penis enlargement ... Andropause or male menopause [ Hypospadias ] Peyronie's disease The testicles and scrotum For gay or bi men The clitoris and female sexuality ... Other websites Other pages on hypospadias: Personal stories of living with hypospadias Support groups 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. The text below is written by a man with personal experience of hypospadias.

12. Hypospadias & Epispadias Association Welcome to the hypospadias and Epispadias Association (HEA) online community. Michael Walker, Ph.D. President hypospadias and Epispadias Association. http://www.hypospadias.net/members.htm

Welcome to the Hypospadias and Epispadias Association (HEA) on-line community. For many people reading this we know you will discover with relief, that in your circumstances, feelings and concerns you are not alone. The HEA lives to support and educate people affected by Hypospadias and Epispadias including youth, adults, parents, as well as partners and health-care practitioners. For many members the support and education of the HEA has been a profoundly life-altering and positive experience through which they have discovered for the first time their ability to access a full and active life of love and fulfillment. We invite you to support the HEA by joining today. Membership is affordable and offers many life-changing benefits! Opportunity to contribute to a unique community, which needs you exactly for who you are. For many the opportunity to reach out to others who are isolated and lonely in their experience provides exactly the "treatment" their own isolation requires! Access to the annual survey of HEA members with detailed professional analysis. Results are significant and sometimes surprising! Subscription to our new quarterly e-newsletter full of stories from members, clinical photos, helpful information and the latest medical news. $50 discount to the national annual HEA conference. The conference is an incredibly moving experience for many members who often meet others with H/E for the first time. In addition to excellent presentations and education the camaraderie and community, which develops from this conference is truly life affirming and healing!

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

Hypospadias What is hypospadias? It's male birth condition where a baby boy is born with a penis not like the average. However - there is no such thing as a typical hypospadias - it may involve any or several of the following variations on the "normal" penis: Small penis size - large penis size - a twist along the length of the shaft - the urethral opening on the bottom of the glans - the urethral opening on the shaft - the urethral opening at the junction of glans and shaft - the penis glans bent downwards - a hooded foreskin - penis leaning to left or right - a flattened, wide glans - a normal shaped glans - urethral opening like a slit - urethral opening like a hole; etc etc. Epispadias is another aspect of penis development, where the opening of the urethra is on the top of the penis shaft and the bladder may be outside the body when a baby is born. Hypospadias and epispadias have some features in common, and the support groups work together, since many of the issues are the same for guys with either problem. Read on down this page for more information Epispadias What is epispadias?

14. 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 url(misc/drupal.css); @import url(modules/event/event.css); @import "themes/xtemplate/isna/xtemplate.css"; Skip navigation home links get videos ... search Our Supporters Arcus Foundation Kicking Assets (Tides Foundation) Over 1,000 individual supporters like you Sections About Board Members Funders Staff Members ... Recent Publications Monitored weblinks Updated more than 132 hours ago: CARES Foundation more Home Hypospadias: Parent's Guide to Surgery Posted Thu, Jan 01 2004 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.

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

16. Index Welcome to what I intend to become a useful information and advice site on the net for people with hypospadias and parents looking for advice and information. http://www.hypospadiashelp.fsnet.co.uk/

Welcome to what I intend to become a useful information and advice site on the net for people with Hypospadias and parents looking for advice and information. A note for Parents - I have designed the site as an easy introduction and I must also make it clear that the majority of people have successful surgery (or don't need surgery) and having hypospadias should in no way stop your son living a 'normal' life. I can be contacted at paulrichis@hotmail.com Contents s="na";c="na";j="na";f=""+escape(document.referrer) Site Created October 2000

17. Hypospadias: Parent's Guide To Surgery | Intersex Society Of North America more. Home. hypospadias Parent s Guide to Surgery. Posted Thu, Jan 01 2004 Library What is hypospadias? hypospadias refers http://isna.org/drupal/node/view/81

@import url(misc/drupal.css); @import url(modules/event/event.css); @import "themes/xtemplate/isna/xtemplate.css"; Skip navigation home links get videos ... search Our Supporters Arcus Foundation Kicking Assets (Tides Foundation) Over 1,000 individual supporters like you Sections About Board Members Funders Staff Members ... Recent Publications Monitored weblinks Updated more than 132 hours ago: CARES Foundation more Home Hypospadias: Parent's Guide to Surgery Posted Thu, Jan 01 2004 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.

18. University Of Virginia Health System Brief discussion of congenital anomalies of the penis,including hypospadias, epispadias, phimosis and paraphimosis. http://www.hsc.virginia.edu/med-ed/path/gu/penis2.html

19. Abnormal Development Of The Penis/Male Urethra hypospadias occurs when the fusion of the urethral folds stops proximal to the tip of the glans penis. This is called coronal hypospadias. 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.

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