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Living with Hypospadias-intellectual disability, Goldblatt type syndrome

A very rare condition seen from birth in three brothers, with a urethral opening difference, intellectual disability, and a small head.

Understanding Hypospadias-intellectual disability, Goldblatt type syndrome

Hypospadias-intellectual disability, Goldblatt type syndrome is a very rare condition described in three brothers in one South African family.

It includes hypospadias, where the urinary opening is in an unusual place, and intellectual disability. Other features are a small head, distinctive facial features, loose joints, and beaked nails. It is seen in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hypospadias
  • Intellectual disability
  • Small head (microcephaly)
  • Low muscle tone
  • Nail differences
  • Triangular skull shape

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Urinary and male reproductive system specialists (urologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What are the options for repairing hypospadias?
What therapies could help development?
Would genetic counseling help our family?

Quick facts

Symptoms usually startNewborn and as an Infant

Changes in genes (also called variants) cause this condition. GARD doesn't list a specific gene or inheritance pattern.

GeneticNeurologicalUrinary and Reproductive

Also known as: goldblatt wallis syndrome; goldblatt-wallis syndrome; hypospadias intellectual deficit goldblatt type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hypospadias-intellectual disability, Goldblatt type syndromeGARD ID 2928 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hypospadias-intellectual disability, Goldblatt type syndrome.

Explore the Hypospadias-intellectual disability, Goldblatt type syndrome blog

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