hypospadius repair/issues in adults

I was born with hypospadius and it was reparied when I was a child. However, there is a leak/whole in the side in another spot. The opening was not placed in the original/correct opening at the tip... but slightly below on the shaft

In addition to the hole/leak where a small stream of urine will spray... there is diverticual (ballooning) when I urinate. It seems to have gotton worse over years... I am 35 now.  I usually just pinch my penis/cover the hole to prevent the leaking and to try to keep it from ballooning too much

I function normally sexually, etc... and I've learned to live with it without focusing too much on it

Is it recommended to get surgery to fix the hole/ballooning? I imagine there is some risk... but is success rate good for adult? Or should I just leave it as is?

thanks

eric

[Kevin Pho, MD]

There have been several newer techniques in hypospadia repair within the past 5 years.  In most cases, the surgery is successful.  Typically, complications are in the range of 3-12% ranging from urethrocutaneous fistulae to urethral stenosis.  

I can't make the recommendation of surgery without examination - I would discuss this option with your urologist.  If there continues to be no clear treatment, I would recommend another opinion at a major academic medical center.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b