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[2](https://www.smdoctor.ru/disease/gipospadiya/). \n* **Венечная** — мочеиспускательный канал находится в зоне венечной борозды [2](https://www.smdoctor.ru/disease/gipospadiya/). \n* **Стволовая** — наружное отверстие находится на стволе пениса [2](https://www.smdoctor.ru/disease/gipospadiya/). \n* **Мошоночная** — уретра заканчивается в области мошонки [2](https://www.smdoctor.ru/disease/gipospadiya/). \n* **Промежностная** — отверстие уретры располагается в промежности [2](https://www.smdoctor.ru/disease/gipospadiya/). \n\n**Распространённость**: в среднем один случай на 200–300 мальчиков, у девочек такая патология встречается крайне редко [5](https://polyclinika.ru/tech/gipospadiya-prichiny-formy-lechenie/).\n\n## Причины\n**Причина гипоспадии — неправильное формирование половых органов при внутриутробном развитии** [1](https://mc21.ru/articles/gipospadiya/)[3](https://yandex.ru/medicine/disease/gipospadija). Некоторые факторы, которые могут спровоцировать патологию: \n* генетические аномалии [6](https://klinikabudzdorov.ru/diseases-child/gipospadiya-u-detey/); \n* эндокринные патологии [6](https://klinikabudzdorov.ru/diseases-child/gipospadiya-u-detey/); \n* воздействие на мать во время беременности факторов окружающей среды (например, химических веществ или токсинов) [7](https://www.upclinic.ru/department/urologiya-seksologiya/anomalii-razvitiya-organov-mochepolovoy-sistemy-vrozhdennye-i-priobretennye/lechenie-gipospadii/).\n\n## Симптомы\n**Проявления гипоспадии зависят от формы заболевания** [2](https://www.smdoctor.ru/disease/gipospadiya/)[9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). Чем дальше относительно нормального положения находится отверстие уретры, тем сильнее выражены симптомы [2](https://www.smdoctor.ru/disease/gipospadiya/). Некоторые признаки: \n* изменение направления струи мочи, из-за чего ребёнок вынужден поднимать пенис вверх во время мочеиспускания или мочиться сидя [2](https://www.smdoctor.ru/disease/gipospadiya/); \n* деформация полового члена, особенно часто встречается при стволовой форме гипоспадии (искривление нарастает по мере роста пениса и во время эрекции) [2](https://www.smdoctor.ru/disease/gipospadiya/); \n* болезненность при половом возбуждении из-за деформации пениса [2](https://www.smdoctor.ru/disease/gipospadiya/); \n* тонкая и прерывистая струя мочи, особенно при сопутствующем сужении наружного отверстия мочеиспускательного канала [2](https://www.smdoctor.ru/disease/gipospadiya/).\n\n## Диагностика\n**Гипоспадия обычно выявляется ещё в роддоме** во время первого осмотра новорождённого [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). Характерные изменения анатомии полового члена позволяют сразу заподозрить диагноз [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). После этого для уточнения состояния и выявления возможных сопутствующих аномалий назначается ряд дополнительных обследований [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). Некоторые методы диагностики: \n* **Ультразвуковое исследование (УЗИ)** — позволяет оценить состояние органов малого таза, почек, мочевого пузыря [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). \n* **Рентгенологические методы** — включают уретрографию и другие визуализационные исследования для более точного изучения анатомических особенностей уретры и окружающих её структур [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html). \n* **Эндоскопия** — в отдельных случаях используется для детального изучения состояния мочеиспускательного канала [9](https://baby.onclinic.ru/articles/gipospadiya-u-detey.html).\n\n## Лечение\n**Лечение гипоспадии только хирургическое** — назначается процедура уретропластики [7](https://www.upclinic.ru/department/urologiya-seksologiya/anomalii-razvitiya-organov-mochepolovoy-sistemy-vrozhdennye-i-priobretennye/lechenie-gipospadii/). Цель операции — восстановить нормальную структуру мочеиспускательного канала и уретрального отверстия, чтобы уретра выходила на верхушке полового члена, как это обычно бывает у здоровых мужчин [7](https://www.upclinic.ru/department/urologiya-seksologiya/anomalii-razvitiya-organov-mochepolovoy-sistemy-vrozhdennye-i-priobretennye/lechenie-gipospadii/). \n\n**Наиболее подходящий возраст ребёнка для проведения операции** — до двух лет [7](https://www.upclinic.ru/department/urologiya-seksologiya/anomalii-razvitiya-organov-mochepolovoy-sistemy-vrozhdennye-i-priobretennye/lechenie-gipospadii/). 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