It is a structural abnormality which does not progress and does not put the man at risk of any other serious illness. However, as with any abnormalities of the urinary system, there may be an increased risk of urinary infection in more severe cases. However, hypospadias may cause emotional turmoil and upset when a boy realises that he is different to his friends. In most cases, one single operation is enough to correct hypospadias. It is critical that circumcision is not performed on the baby before this repair operation, because the foreskin may be needed for the reconstruction.
Surgery is usually successful, allowing the child to urinate normally, and later on to enjoy sex.
A personal issue Understandably your friend probably considers this a very personal issue, and would rather not discuss it. If he wants to tell you more he will do so in his own time. Meanwhile, don't be overly concerned - he is not in danger unless he is having intense psychological problems about the condition. If you suspect this is the case, try to encourage him to seek professional help. Visit our extensive Ask the Doctor library of all previously asked questions and answers covering a wide range of topics.