Hypospadias is a congenital abnormality that occurs when the baby is still developing in the womb. This condition is characterized by the urethral opening not being located at the tip of the penis, but rather on the underside. The urethra itself is a tube that carries urine from the bladder out of the body.
Hypospadias is relatively common and generally does not cause difficulty in baby care. Treatment for hypospadias is usually performed through surgery to correct the position of the urethral opening so that the penis looks normal and functions properly. After successful treatment, most men can urinate normally and retain good reproductive ability.
At Mandaya Royal Puri Hospital, hypospadias treatment is handled by an experienced pediatric urology specialist, dr. Hendy Mirza, Sp.U (K). He is skilled in diagnosing and performing hypospadias reconstructive surgery using safe techniques with optimal aesthetic results, allowing children to grow with normal urinary function and confidence in the appearance of their genital organs.
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What causes hypospadias in babies?
When a baby boy’s penis develops in the womb, certain hormones play an important role in forming the urethra and foreskin. Hypospadias occurs when the function of these hormones is disrupted, preventing the two sides of the urethral fold from fusing completely. The position of the urethral opening depends on when this fusion process stops during fetal development.
In many cases, the exact cause of hypospadias is unknown. However, it may be related to certain genetic changes as well as environmental factors that affect hormonal activity during pregnancy.
Some risk factors that can increase the likelihood of a baby being born with hypospadias include:
- Family history: Babies with family members who have hypospadias are at a higher risk of developing the condition.
- Genetic factors: Changes in certain genes can affect the hormones that regulate the development of male genital organs.
- Maternal age over 35 years: Some studies show an increased risk of hypospadias in baby boys born to mothers over 35.
- Exposure to chemicals or hormones during pregnancy: Exposure to pesticides, industrial chemicals, or certain hormones during pregnancy may increase the risk of hypospadias, although this link requires further research.
What are the symptoms of hypospadias in babies?
The main symptom of hypospadias is that the urethral opening is located on the underside of the penis rather than at the tip. In most cases, the opening is near the head of the penis, but in more severe cases, it may be located in the middle or base of the penis—or in rare instances, near or below the scrotum.
Common signs and symptoms of hypospadias in babies include:
- Urethral opening located underneath or along the shaft of the penis, rather than at the tip.
- Downward curvature of the penis (chordee), which may become more noticeable during erection.
- Foreskin that doesn’t cover the entire penis, making the top appear as if it has a “hood.”
- Abnormal urine stream direction, such as urine flowing sideways or downward.
Most babies with hypospadias can be identified shortly after birth, especially during hospital examinations. However, in mild cases, the misplaced urethral opening may be harder to detect. Parents are advised to consult a doctor if their baby’s penis looks unusual or if there are difficulties with urination.
Can hypospadias cause complications?
If left untreated, hypospadias can lead to several complications, such as:
- Abnormal penis shape, as the urethral opening is not at the tip.
- Difficulty urinating, such as urine stream not being straight or directed downward.
- Curvature of the penis during erection (chordee), which can cause discomfort.
- Ejaculation problems, where semen cannot be released normally, potentially affecting fertility.
Early treatment is essential to prevent these complications and ensure optimal urinary and reproductive function.
Hypospadias treatment by dr. Hendy Mirza at Mandaya Royal Puri Hospital
At Mandaya Royal Puri Hospital, surgery to correct hypospadias is performed by an experienced pediatric urology consultant, dr. Hendy Mirza, Sp.U (K). He has successfully handled numerous hypospadias cases at Mandaya with excellent outcomes.
The surgical technique used is Mathieu technique hypospadias urethroplasty, which aims to restore the normal structure and function of the penis. This procedure allows the child to urinate in a straight stream while standing and helps prevent sexual issues later in life.
dr. Hendy has extensive experience in treating various urinary tract disorders and abnormalities, including pediatric hypospadias. He earned his medical degree from the Faculty of Medicine, University of North Sumatra, and completed his urology specialization at University of Indonesia.
To further refine his expertise, dr. Hendy completed a Pediatric Reconstructive (Laparoscopic) Fellowship at the University of Indonesia, earning the title of Pediatric Urology Consultant. With this background, he possesses high competence in performing pediatric urology procedures, including urinary tract reconstruction and correction of congenital conditions such as hypospadias.
Areas of Expertise of dr. Hendy Mirza
- Urinary tract surgery
- Prostate biopsy
- ESWL (Extracorporeal Shock Wave Lithotripsy)
- Urology consultation
- Lithoclast
- Kidney surgery
- PCNL (Percutaneous Nephrolithotomy)
- RPG (Retrograde Pyelography)
- Circumcision
- TUNA (Transurethral Needle Ablation)
- TURP (Transurethral Resection of the Prostate)
- Prostate ultrasound
- Ureterorenoscopy
- Prostate examination
With his dedication and expertise in urology—especially pediatric urology—dr. Hendy Mirza is committed to providing the best care for both pediatric and adult patients with a professional, safe, and outcome-oriented approach for long-term success.
Clinic Schedule of dr. Hendy Mirza at Mandaya Royal Puri Hospital
- Monday: 16.00 – 19.00 WIB
- Wednesday: 16.00 – 19.00 WIB
- Friday: 16.00 – 19.00 WIB
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