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The urinary opening (urethral meatus) is located on the underside of the penis instead of at the tip. The meatus can be positioned anywhere from just under the tip of the penis to below the testicle sack (scrotum), so the severity of this abnormality varies. Hypospadias is associated with downward curvature of the penis on erection, which also varies depending on the location of the meatus.

Multiple techniques are used to correct hypospadias, depending on the severity of the abnormality and the preference of the surgeon. Most hypospadias procedures are successful, resulting in a normal appearing and functioning penis.

Repair of the hypospadias failure

Complications are possible with any operation, including hypospadias. The repair of patients who have had multiple previous failed hypospadias operations requires even greater expertise. Skin grafts and staged operations are often necessary. A team approach by experienced surgeons helps to achieve a successful result. With severe deformities, the staged split -thickness-skin graft urethroplasty repair is very successful. (See my published article in the Journal of Urology in January 1995, Volume 155, page 131).

As a best in class plastic surgeon, Dr. Gary Alter provides highly personalized and comprehensive care. His philosophy regarding the physician / patient relationship is based on trust and has earned him one of the most respected reputations in the world.

For more information about the surgeries we offer or to schedule a consultation with the board certified plastic surgeon, please contact either our Beverly Hills of New York City plastic surgery practice:


416 N Bedford Dr, Suite 400
Beverly Hills, CA 90210
Tel: (310) 275-5566


461 Park Ave South, 7th Floor
New York, NY 10016
Tel: (212) 321-0749