The most common genital abnormality seen by pediatric urologists are hypospadias abnormalities. In this condition the urethral opening is not at the tip of the penis but further down on the ventral surface (that is, between the head of the penis and the scrotum). Often this abnormality is associated with chordee, a curvature of the penis down towards the scrotum. Surgical repair is recommended for those children whose hypospadias will affect future fertility, sexual intercourse, cosmesis and the ability to void in the standing position. The cause of hypospadias is not exactly known.
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