Mild versus Severe
When our son is diagnosed with hypospadias we want to know so many things: What caused it, how will it affect him, how can I fix it and … well, maybe first off, how bad is it? Whoever diagnosed your son with hypospadias has likely told you the severity. In mom terms it’s mild, mid shaft or severe. In practitioner terms it’s glanular (mild), distal (mid shaft) and proximal (severe). This is also called anterior, including glanular and subcoronal; middle, including distal penile, midshaft and proximal penile; and posterior, including penoscrotal, scrotal and pereneal. All this really means is where along the under shaft of the penis the urethral meatus (the pee hole) is located.
Mild versus severe hypospadias | Why does it matter?
If a child has glanular, or mild hypospadias, surgery may not be necessary and not cause problems with urination, erections or other sexual function later in their life. If a child has distal or proximal hypospadias, surgery typically is necessary to ensure normal function later. Apart from the repair, a child with more mid shaft or severe hypospadias may have a narrow opening that needs correction in order to avoid back pressure and infection of the bladder and kidneys down the road.
Regardless of severity, in all cases, you never want to circumcise a boy with hypospadias because the foreskin may be necessary in the repair. It’s best to wait until after surgery and following no complications.