Hypospadias is a common congenital penile anomaly. The opening of the urethra is located at or below the junction of the head and body of the penis. Sometimes it can be located posteriorly in the scrotum. In addition, the ventral foreskin of the penis is often missing in children with hypospadias, giving the foreskin a cap-like shape. The penis is often recurved during erection (painful erection of the penis). How does it happen? Hypospadias is the result of underdevelopment of the urethra. Sometimes it is hereditary. Other than this, the cause is usually unknown. Why is it important? Hypospadias can lead to abnormal urinary flow, so boys are forced to adopt a squatting position to urinate. In addition, abnormal opening of the urethra or downward curvature of the penis can cause sexual dysfunction. Can circumcision be performed? Note: Circumcision cannot be performed in the neonatal period. These foreskins are required for urethral repair. Can hypospadias be corrected? Yes. There is no medication that can cure it. Genital reconstructive surgery by an experienced surgeon is usually successful. Whenever possible, surgery before school age is preferable. In most cases, the surgery takes 1 to 4 hours. What are the long-term results after correction of hypospadias? After surgery, most children have normal function and a better appearance. Long-term studies have shown that children with this condition are emotionally identical to normal children. Fertility is largely unaffected after surgery.