Hypospadias (Circumcised Children of the Prophet)

• Hypo (inferior), Spadon (cleft) in Greek

• Occurs due to incomplete development of the anterior urinary hole. Pipi anomaly

It is generally defined as the fact that the last opening of the urinary tract is covered with a thin skin instead of being surrounded by the main shaft of the urethra and the tissue between the main shaft of the urinary tract is underdeveloped.

The incidence is

• It is seen as 1-3 per 1000 live births.

• Although its frequency seems to have increased today, it is thought to be related to advances in diagnosis and follow-up.

Findings seen in patients circumcised by the Prophet:

• There are two main types of hypospadias.

The one caused by the distal interruption of the corpus spongiosum, accompanied by the curvature of the minimal penis.

• Hypospadias, which is a prominent penis due to severe weakness of the tissues on the front surface of the penis, caused by the proximal interruption of the corpus spongiosum.

• Foreskin collected on the back of the penis.

• However, intact foreskin can also be seen in the mildest hypospadias.

• Pipe curvature.

• Urinary flow.

• Sexual Intercourse - problem in the ability to have children.

• Psychosexual Development problems.

ADDITIONAL ANOMALIES THAT ARE OBSERVED

Undescended testicle and inguinal hernia (7 – 13%).

Absence of kidney, kidney  and renal tract anomalies.

U –P stenosis.

What should children circumcised by the Prophet do?

Children with this disorder should first be examined by a pediatric surgeon and receive information about the severity of their disease.

Is this an important problem?

Yes, these patients have mild or severe symptoms. Children with serious illnesses should be examined by a Pediatric Surgeon and their surgery should be planned in the future.

When should children who have been circumcised by the Prophet undergo surgery? Should circumcision be performed?

It would not be appropriate to give the answer to this question without examining the child by a Pediatric Surgeon. However, these patients must have surgery before the age of 4.

Who performs the surgery?

It is appropriate for a Pediatric Surgeon who has experience in this field to perform this surgery. The family should do a detailed research beforehand.

Is the surgery painful?

Both yes and no. The type of surgery to be performed varies depending on the severity of the disease.

How many days are needed in the hospital?

A hospital stay of 2-12 days is required, with or without catheter.

The most common problems encountered after surgery:

• Bleeding

• Infection

• Gangrene of the new urinary tract

• Hole in the urinary canal (most common)

• Stenosis in the urinary canal

• Abnormal enlargements in the urinary tract

• Permanent penis curvature

• And the many surgeries and failures that had to be undergone

_{Read: 0}