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Most likely your boyfriend was born with hypospadias, a relatively common abnormality that may affect up to 3 in newborn boys. Instead of having a urethral opening at the end of the penis, boys born with hypospadias have an opening on the underside of the shaft. If this is a problem, the condition can be surgically corrected. Often, surgery is arranged before the child reaches school age. The surgery, performed under anesthesia, involves using a small piece of foreskin to fashion a tube to extend the urethra to the end of the penis. The original hole is most often left as is since the urethra now bypasses it. This probably explains why your boyfriend's penis has two holes; only one is functional. Have you tried asking your boyfriend about the two openings?
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Most boys are born with a penis that looks normal and works well. But some boys are born with a common condition called hypospadias. Hypospadias forms a penis that not only doesn't work well but also doesn't look normal. Pediatric urologists have come up with many surgical techniques to fix this problem. The following information should help you speak to your son's urologist. Hypospadias is a condition where the meatus isn't at the tip of the penis. Instead, the hole may be any place along the underside of the penis. The meatus hole is most often found near the end of the penis "distal" position. But it may also be found from the middle of the penile shaft to the base of the penis, or even within the scrotum "proximal" positions. Hypospadias is a common birth defect found in up to 1 in every boys.
Lee Zhao, M. Scar tissue builds up in the tube, Dr. Lee says, narrowing the opening.