Diagnosis

Your child's pediatrician can diagnose hypospadias based on a physical exam. He or she will likely refer you to a surgeon who specializes in genital and urinary conditions (pediatric urologist) for further evaluation. Medical centers with specialty teams can help you evaluate options and can provide expert treatment.

When the opening of the urethra is abnormal and the testicles cannot be felt on exam, the genitals may be difficult to identify as clearly male or female (ambiguous genitalia). In this case, further evaluation with a multidisciplinary team is recommended.

Nov. 01, 2016
References
  1. Baskin LS. Hypospadias. http://www.uptodate.com/home. Accessed Aug. 14, 2016.
  2. Kliegman RM, et al. Anomalies of the penis and urethra. In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Aug. 14, 2016.
  3. Epispadias and hypospadias. American Urological Association. https://www.auanet.org/education/modules/pathology/penis-defects/epispadias-hypospadias.cfm. Accessed Aug. 14, 2016.
  4. Facts about hypospadias. Centers for Disease Control and Prevention. http://www.cdc.gov/ncbddd/birthdefects/hypospadias.html. Accessed Aug. 14, 2016.
  5. Bouty A, et al. The genetic and environmental factors underlying hypospadias. Sexual Development. 2015;9:239.
  6. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. July 26, 2016.
  7. Granberg CF (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 28, 2016.