Hypospadias is the second most common birth defect. It refers to an opening that’s below the normal tip of the penis. In addition, some boys have curvature that may impact sexual activity as an adult, and almost all boys have an incomplete formation of the foreskin around the top but not around the bottom of the penis. Surgery is done to straighten the penis, to move the opening out to the correct point and to repair the skin according to the family’s preference – either with a circumcision or reconstruction of the foreskin – with the goal of making the penis look and function normally.
Dr. Bush and Dr. Snodgrass are considered experts in hypospadias repair. Twenty years ago, Dr. Snodgrass published the repair that is now the most commonly used hypospadias surgery around the world, called the TIP repair but more commonly referred to as the Snodgrass repair. Today, Dr. Snodgrass and Dr. Bush operate together as an experienced surgical team so they can pay attention to every single detail that helps with their goals of achieving “penile perfection”. They have authored numerous articles and book chapters, and recently released their surgical textbook, HYPOSPADIOLOGY. Repair can be performed after the age of 3 months in term infants, and after 6 months in babies born prematurely. Our surgical team, which includes pediatric anesthesia and nursing, is highly experienced in all details of penile reconstruction in infants to maximize efficiency and minimize discomfort.