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Opening in the wrong place on the penis

Normally, the opening of the urethra (the tube for urine and semen) is at the end of the penis, in the middle of its head (glans). About 1 in every 300 males is born with the opening on the underside, and the middle of the glans just has a blind dimple. This is called hypospadias. It tends to run in families; if one child has hypospadias, his brothers have a 1 in 20 chance of also having it.
 
In 65% of men with hypospadias, the opening is on the underside of the head of the penis, near where it joins the shaft, but it can be anywhere along the underside of the shaft or even at the root of the penis near the testicles. If the opening is on the shaft, the end of the penis may bend when it is erect; this does not occur if the opening is near the head. The foreskin is often abnormal as well; part of it is missing on the underside of the penis, so it looks like a hood.

Effects of hypospadias

Hypospadias does not make you incontinent because the urine flow is controlled by the neck of the bladder, which is higher up inside the body. However, it can make it difficult to direct the stream of urine accurately, and some men with this condition choose to sit down when they pass urine.

Treatment of hypospadias

Severe hypospadias, where the opening is on the shaft or near the testicles, will have been noticed at birth, and will have been put right by an operation at the age of 12–18 months. Babies with slight hypospadias, where the opening is on the head of the penis, not far from the dimple, do not always have an operation. If you have hypospadias that was not operated on, but which bothers you because of the appearance of the foreskin or because you cannot control the direction of the urine stream, ask your family doctor to refer you to a urological surgeon who will be able to give you more information and discuss the options. Seeing a surgeon does not commit you to having an operation.
 

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Saturday, September 3rd 2011

 

Do you have to sit down to urinate, or find it difficult to pee in a straight line? In part 3 of Dr Phil Hammond's penis trilogy, he discusses what happens when your peehole is in the wrong place and what you can do about it. Click on the video below to find out more.

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Comments on this article

Posted by Optional on 07/03/2014 at 08:18

I am a 43 year old man. with this condition.my hole is near the tip. I have had no problem with sex. I am and have 4 children with no problems.

Posted by avi on 16/10/2013 at 05:30

Is there any difficulties during sex

Posted by Good news on 29/09/2013 at 09:17

Ok for all the men out there who have this issue of it causing them issues with girls. It's shouldn't I have this since I was 4. So I'm use to it. But you all have to understand. We have better sex lives because if u have this. I have found I have longer sex Only thing I need to know. Is can I still have kids ??

Posted by Optional on 13/09/2013 at 02:39

i have a problem of abnormal penies hole i have two childeren.but when i read about this health problem i suspious about my childern please help me is there aproblem or not

Posted by Optional on 06/01/2013 at 07:12

Sir,I am 28 Years old unmarried boy in India in State MP.I have a hole in penis in down side,every thing is normal and not in problem to go to toilet.but is this a true that the hole in center in penis to enjoy married life . plz give me suggestion for this,if photos can be sent to u then i will send.

Posted by Nikhil on 27/12/2012 at 08:48

Sir, My small born baby also got the same problem. opening is not in the place its around 2 cm behind from the tip of the penis nd also access skin. dr suggested to make a surgery after 2 years of baby. now he is 3.5years, I went to dr. in MANIPAL KMC Hospital, Karnataka. the operation is completed it takes 11 days. nd cost was 25000. but after the operation when watch urine is passing 2 side one is reflecting back and legs get wet nd one is passing straight.. again I met the same dr. he said v wil make hole enlarge nd they made something, and next day when i watch dr. made cut the stich and made pain to that baby. they made same as old position so i felt more. I really say the dr. are cruel.... plz give good sugestion..

Posted by mrx8394 on 21/12/2012 at 01:51

i am 20 year old and i have similar problem to hypospadias. I've 3 holes in my penis and out of which the one which is under the penis is usefull for urine. Remaining two holes are just like show piece. And too my urine stream is not straight. What to do? Please help. Is hypospadias curable. . ?

Posted by Tennessee on 11/12/2012 at 02:18

I'm 23 and was born with this particular condition but did not know that it was a "condition" until recently. I had surgery when I was 3 years old to correct the problem. The surgery was sucessful for the most part except there is still a very small opening. Usually sit to urinate. Unless I'm outdoors or at a urinal, where I can turn it on its side..

Posted by Hamza on 24/08/2012 at 03:58

I have the problem of hypospadias that my penis get bent when it errects because of this problem. I have the hole under the penis instead of at the end of the penis. I am really very embrassed to go for a doctor and I also dont have enough money here in UAE to make an operation for this problem. I kindly request you to please help me and give me some idea to make it correct. Is there any problem to make a baby with this infection? Is this necessary to make a surgical operation to make my wife pregnant. Iam getting married after few months and I am much worry about this problem. if there is any other solution to fix this problem in a cheaper way then please tell me and help me out or if there is no problem to make a baby after marriage then it will be fine then I dont worry even I have to sit down for urine. I hope you will help me and give me some good suggetion. I am still a virgin.

Posted by Erika on 28/04/2012 at 08:04

I have a son 3 yrs old he dont have hole in his penis. The hole go in the middle of his balls and penis. He can make peepee by doing like this he pull up his penis to make peepee. All doctors and urologist out there can u give me advice and also i need help. Im begging your pardon. Pls help my baby.

Posted by Optional on 25/04/2012 at 02:48

Iam living in sharjah and my son born with this problem - Urinates from other side of his pennis and doctor advised us to wait for atleast 2 years from born date. to under go operation or surgery for him. Please advice me on this My Name is To be Mr.Nice

Posted by GF on 12/08/2011 at 05:04

I am with a slightly older man right now, and i think this is what he is going through. it does not really bother me at all, but i know its really bothering him. is there any way that i can make him feel more comfortable and relax?? i dont want his to feel about about something he had no control over.

Posted by Optiona on 24/06/2011 at 04:36

my sons hole is on the tip but farther down n its to big i was told would it b from him bein circumsized

Posted by Optional on 19/04/2011 at 03:05

my son spoke to me about an issue that he wanted to share. he showed me his penis, and on him pulling back his foreskin he showed me that the opening was on the underside of his penis. it is located on the head quite near to where most openings are but he /we are still concerned about it. do we need to refer him on to our GP for referral to a urological surgeon. he doesn't complain about urine accuracy or of any pain.

Posted by Optional on 14/09/2010 at 10:57

could you tell me that hypospadias effects the sex life????????

Posted by Optional on 12/09/2010 at 07:36

when i open my penis it become difficult to do. Due to joint of skin of head and penis skin. It gives me pain to do musterbsin.

Posted by loving wife need's help on 10/08/2010 at 12:40

kind of odd but,my husband had surgery about 17 years ago,where his skin was covering over his penis,so they cut him & made a new peehole under his penis,well didnt bother us for awhile but the older I get the harder it is on me to have sex with him,lord knows i cant tell him cause hes been shamed enough over this thing,it's never bothered me one bit,I love him..

Posted by Ryan on 19/03/2010 at 03:00

I have had to live all my life with mild hypospadias & that hood. Too late to have it corrected now but I missed out on love, marriage etc.

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