In cases of hypospadias, the urethral opening being located on the underside of the penis and further back from its normal position can affect fertility potential by making sperm ejaculation difficult. However, if the urethral opening is close to the tip of the penis, and an accompanying curvature or deformity does not adversely affect sexual function or sperm release, this condition generally does not pose an obstacle to the ability to have children. Nevertheless, albeit rarely, some patients may also present with additional urological anomalies such as undescended testicles. Such cases require detailed evaluation.