Hypospadias: Impact on Penis Size and Development in Teens - Urology

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Hypospadias


Hello doctor, I am 14 years old and in the second year of junior high school.
I had surgery for hypospadias when I was about 5 years old.
Can you tell me how patients like me differ from other boys in terms of penile development after surgery? My genitalia has always been significantly smaller than that of my peers, and it hasn't grown much over the past year.
My flaccid length is about 5 cm, and when erect, it is only about 8 cm.
Is this related to my hypospadias?

Xiao Da, 10~19 year old female. Ask Date: 2004/09/05

Dr. Tu Xiuhong reply Urology


Hello, Xiao Da: Patients with hypospadias generally have a penis that is slightly shorter than that of their peers.
At your age of 14, a length of 8 centimeters when erect is not considered short.
As puberty continues, it is expected to grow a bit more.
This is a response from Dr.
Tu Hsiu-Hong, Acting Director of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2004/09/05

More Info


Hypospadias is a congenital condition where the urethra does not open at the tip of the penis but rather on the underside. This condition can have various implications for penile development, particularly during puberty. In your case, having undergone surgery for hypospadias at a young age, it is understandable to have concerns about how this might affect your penis size and overall development compared to your peers.

Firstly, it is important to recognize that the size of the penis can be influenced by a variety of factors, including genetics, hormonal levels, and overall health. In general, the average size of an erect penis for adult males is around 5 to 6 inches (approximately 12.7 to 15.24 cm), but there is a wide range of what is considered normal. The fact that you are currently measuring around 8 cm when erect is below average, but it is essential to remember that many factors contribute to these measurements.

Research indicates that boys with hypospadias may experience differences in penile growth compared to their peers. The surgical correction of hypospadias aims to create a functional urethra and improve the appearance of the penis. However, the surgery itself can sometimes affect the normal growth and development of the penis. Some studies suggest that boys who have had surgery for hypospadias may have a slightly smaller penis size compared to boys without the condition, but this is not universally the case.

Hormonal factors also play a significant role in penile development during puberty. Testosterone, the primary male sex hormone, is crucial for the growth of the penis and other secondary sexual characteristics. If there are any hormonal imbalances, this could potentially impact growth. It may be beneficial for you to discuss your concerns with a healthcare provider who can evaluate your hormone levels and overall development.

Additionally, psychological factors can also play a role in how you perceive your body and its development. It is not uncommon for adolescents to feel self-conscious about their bodies, especially during puberty when changes are happening rapidly. If you are feeling anxious or concerned about your size or development, it may be helpful to speak with a counselor or therapist who can provide support and guidance.

In summary, while hypospadias can influence penile development, it is not the sole factor determining size. Genetics, hormonal levels, and overall health are also critical components. If you have concerns about your growth or development, I encourage you to speak with a urologist or an endocrinologist who specializes in adolescent health. They can provide a thorough evaluation and discuss any potential treatments or interventions that may be appropriate for you. Remember, every individual develops at their own pace, and there is a wide range of what is considered normal.

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