8. Will my son become "normal" after hypospadias-operation?
Yes, in children with glanular (grade1), distal (grade 2) and the majority of proximal (grade 3) hypospadias, if the operation is done by an experienced surgeon. However in a small percentage of patients (especially in proximal forms) complications may occur that may impair the appearance or the function of the penis.
9. Will he function as a "normal" man later on when he grows up?
In the majority of cases, yes.
10. Should my son receive hormonal treatment before the hypospadias-operation?
Glanular and distal hypospadias and majority of proximal hypospadias do not need pre-operative hormonal treatment. Some surgeons prefer to use pre-operative hormonal treatment in the form of creme or injections in severe forms of proximal hypospadias. The drawback with hormonal treatment is that it does not affect the penis only but affects the whole body including bone growth and the effect of hormons on the penis is temporary (1 month after therapy).
Prof. Hadidi does not like to use pre-operative hormonal therapy because of its adverse effect on the body in general and because it alters the tissues of the penis and increases the chances of bleeding. However pre-operative hormonal therapy may be helpful in patients with intersex, where the phallus is very small.
11. Should we do chromosomal analysis (tests)?
In glanular and distal hypospadias with both testis in the scrotum, this is not necessary. However in severe forms of proximal hypospadias or patients with intersex chromosomal tests are important to accurately identify the gender of the child.