Hypospadias in Adults: Understanding the Condition, Treatment, and When to See a Doctor

March 19, 2025
HYPOSPADIAS IN ADULTS

You might have heard of hypospadias in children, but did you know this condition can also affect adults? It’s not exactly a dinner-table topic, yet it’s essential to understand if you’ve experienced any issues related to urinary function or the appearance of your genital area. Today, let’s break it down in simple terms: what adult hypospadias is, how it can be treated, and why you might consider consulting a male urologist—even the best male urologist in Dubai—if you suspect this condition.

What Is Hypospadias in Adults?

Hypospadias is a congenital condition where the urethral opening isn’t located at the usual spot on the tip of the penis. Instead, it could be positioned somewhere along the underside of the penile shaft or even near the scrotum. Often, children are diagnosed and treated early, but some men reach adulthood without ever correcting or even fully recognising their hypospadias.

In adults, the condition can cause challenges such as difficulty directing urine flow, issues with sexual function, or self-consciousness about appearance. Sometimes, the changes are subtle, and you might not realise your urethra’s position is off until it begins to affect your day-to-day life. That’s when a visit to a trusted male urologist comes into play.

Recognising the Symptoms and Possible Complications

You know, it’s easy to brush off mild symptoms—especially if you’ve lived with them your entire life. However, certain signs shouldn’t be ignored:

1. Abnormal Urine Stream

If your urine stream sprays or you find it difficult to control the direction, it might be a hint that your urethra isn’t positioned where it should be.

2. Penile Curvature (Chordee)

Some men with hypospadias experience a bend in the penis, which can be more than just a cosmetic concern. Severe curvature may lead to pain during intercourse.

3. Skin Irritation

When your urine flow is directed toward the skin or scrotum, it can cause frequent irritation or even lead to infections over time.

4. Impact on Sexual Function

Discomfort, difficulty maintaining hygiene, or psychological stress about appearance can interfere with your sexual well-being. It’s not just a physical issue; emotional factors often come into play too.

If you notice these symptoms, it’s essential to speak with a medical professional preferably an experienced male urologist before they escalate. In some cases, ignoring these signs can lead to bigger problems—like repeated urinary tract infections or complications in intimate relationships.

Treatment Options: Correcting Adult Hypospadias

The good news is that hypospadias in adults can be addressed. Treatment typically involves surgical intervention, but let’s make it clear: not everyone will need surgery. Each case is unique and depends on symptoms, the severity of your hypospadias, and personal preferences.

1. Surgical Repair

Surgery usually involves repositioning the urethra to the tip of the penis and correcting any accompanying curvature. This might sound intimidating, but modern urological procedures are far more advanced and precise than they were decades ago. Surgeons often use tissue grafts or flaps from other areas of the body to rebuild the urethra, ensuring a functional, natural-looking result.

2. Partial Repair or Cosmetic Adjustments

If your hypospadias is mild, you may only need a small correction. Your doctor might straighten the penis or reconfigure the tissues around the urethra to improve urine flow and reduce irritation.

3. Urethroplasty

In more complex cases, a multi-stage urethroplasty might be necessary. This process is generally reserved for severe hypospadias or when previous repairs have failed. While a multi-stage approach requires patience, it offers a tailored solution that can significantly improve function and appearance.

No matter the surgical route, recovery typically involves careful aftercare. You’ll have to follow specific instructions—such as wearing supportive dressings, taking prescribed medications, and avoiding strenuous activities for a set period. Patience really is key here. You’ll need time to heal and adapt to the changes, but the long-term benefits often outweigh the temporary discomfort.

Emotional Well-Being: Addressing Self-Consciousness and Anxiety

Dealing with hypospadias isn’t just about physical repairs. Many adult men experience psychological stress or anxiety related to how their penis looks or functions. This can create a cycle of concern that impacts everything from self-esteem to intimate relationships. Opening up to a healthcare provider—or even a counsellor—about these feelings can go a long way toward easing the emotional load.

When to Seek Help from a Male Urologist

If you’ve reached the point where you can’t ignore symptoms or you’re simply curious about whether your hypospadias needs attention, it might be time to book a consultation. A male urologist brings specialised knowledge of male anatomy and, in many cases, advanced experience dealing with hypospadias.

Many men in the region opt for the best male urologist in Dubai to get the highest standard of care. Whether you have questions about surgical options, want clarity on potential complications, or just need professional reassurance, setting up an appointment is a wise step forward. Remember, early intervention can prevent more significant issues down the road, so don’t wait until problems escalate.

What to Expect During a Consultation

Visiting a male urologist for the first time can feel overwhelming, but it’s less daunting when you know what to expect. Your specialist will typically:

  • Conduct a physical exam to assess the location of your urethral opening and the degree of any penile curvature.
  • Discuss your medical history, including any past procedures or relevant symptoms.
  • Possibly recommend imaging tests or additional evaluations to get a detailed understanding of your anatomy.
  • Work with you to develop a personalised treatment plan—whether it’s surgical, non-surgical, or simply watchful waiting.

Conclusion

If you’re living with adult hypospadias, remember you’re not alone. Many men only realise later in life that a lingering issue, which seemed minor at first, can significantly impact their quality of life. Whether you’re facing mild symptoms or considering corrective surgery, seek guidance from an expert urologist in Dubai.

In Dubai, Dr. Mahesh Dhanjee is widely regarded as one of the best male urologists in Dubai, offering expert care for conditions like hypospadias. With extensive experience in male urological health, Dr. Mahesh provides personalised treatment plans that address both physical concerns and emotional well-being. His commitment to patient-focused care ensures you receive comprehensive support throughout your journey.

If you suspect you may have hypospadias or have questions about treatment, don’t hesitate to consult a reputable male urologist. Early intervention can make all the difference, helping you regain control over your health and daily comfort.

Take that first step today—because your well-being is worth it.