Hypospadias is a congenital condition in which the opening of the urethra is on the underside of the penis instead of at the tip.
Hypospadias usually occurs by genetic causes. Some discomforts during the pregnancy can also cause hypospadias.
It is easy to understand the signs of hypospadias.
The doctor can easily see that the baby is born with hypospadias when performing postnatal checks.
In situations where the doctor could not see the hypospadias, the family can easily see this problem when they are changing the baby’s diaper.
Penile curvature and opening of the urethra at a point other than the tip of the penis are the most important signs of hypospadias.
Types of Hypospadias
Hypospadias types are classified according to the distance between the penis tip and the urinary hole.
The type that urine hole is very close to the point where it should normally be, is called Glandular Hypospadias.
If the urine hole is located just below the head of the penis it is called subcoronal hypospadias.
These two types are the most common types and the easiest to treat.
Other types of hypospadias; Distal, Midshaft, Penoscrotal, and Perineal
Treatment of Hypospadias
The surgery is usually performed around the age of 5 years.
The type of surgery changes according to the degree of the hypospadias.
When urine hole gets farther from the point it should be, the surgery gets more difficult.
Often, in addition to opening the urinary hole at a different point, penis curvature also occurs. This problem should be corrected in the surgery.
By operation, the urine hole is taken to the tip of the penis and a new urinary tract is created.
Sometimes, after surgery, a smaller hole may remain at the point of the old urine hole.
In addition, the urinary tract may remain narrow.
Narrowness, curvature and holes can lead to bigger problems after the baby has grown. So, the operations should be done with great care. For this reason, delicate operations must be performed by using loop or microscope. The catheter should be used for about 5 days after surgery.
Babies with hypospadias should never be circumcised before the surgery for the use of foreskin in some surgeries.
After successful surgery, children can urinate like other normal children.
People who have undergone surgery in childhood will not have any problem with going into sexual intercourse.
After Hypospadias Surgery
The patient may return home on the day of surgery or may stay in the hospital for 1 night depending on the size of the operations and interventions performed.
In about 5 days after the surgery, the bandages are opened.
After a week, the used catheter is removed.
Post-operative pain can be controlled by painkillers.
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