There has been an increase in the number of cases of Hypospadias, as it is commonly known, in recent years. Yeditepe University Kozyatağı Hospital Pediatric Surgery Specialist Assoc. Dr. Şafak Karaçay says that the most important reason for this increase is multiple environmental factors and environmental pollution.
Hypospadias, a congenital problem whose cause is not fully known, requires treatment so that the child can maintain both reproductive and excretory functions in a healthy manner. It needs to be done. In children with Prophetic circumcision, the urinary hole is opened at a point lower than where it should be opened. Assoc. Dr. Şafak Karaçay underlines that the treatment of these children must be done between the first 6 months and 1 year of age.
ENVIRONMENTAL FACTORS AFFECT
Although the exact cause of the disease is unknown, it is genetic. It is thought that many factors are effective, from pregnancy to pregnancy to the mother's nutrition during pregnancy. Assoc. Dr. Şafak Karaçay states that multiple environmental factors have gained importance especially in recent years and provides the following information:
“Studies on genetic factors continue. However, genetic transmission is still a questionable issue since a single gene or region cannot be detected. Multiple environmental factors seem to predominate in this regard. It is observed that hypospadias and many similar developmental disorders have increased in number over the years. In a study covering 27 years in Italy, the last data of which was from 2009, it was reported that the incidence of hypospadias increased from 2.4 percent to 5.2 percent in Europe and America, that is, it more than doubled. Agricultural poisons called pesticides, high soy consumption, and phytoestrogens taken with food, which are increasing in our country and in the world, contribute to the development of hypospadias and other deformities of the penis by disrupting the hormonal balance during pregnancy.
Unfortunately, the processing and obtaining techniques of the foods we consume today indicate that we have broken away from nature in nutrition. During pregnancy, it is important to eat naturally, stay away from processed foods, and go for regular medical check-ups and use vitamin supplements recommended by the doctor. In addition, it is not under the supervision of a physician It is also necessary to avoid using medication at this time.
INFERTILITY MAY ACCOMPANY THE CIRCUMCISION OF THE PROPHET
For hypospadias, a penis that appears to be circumcised or semi-circumcised at birth is usually Stating that it is the first symptom, Assoc. Dr. Şafak Karaçay continues his words as follows: “The three basic health signs of the penis are normal urination, cosmetic appearance, and adequate reproductive and sexual intercourse functions. A disease that may disrupt at least one of these three features must be corrected. Since the urinary tube in men is also the channel that carries sperm, in some cases hypospadias may be accompanied by infertility. For this reason, surgical treatment is applied to children with hypospadias to achieve the best possible cosmetic, reproductive and excretory processes. While the urinary tube and hole are corrected and moved to where they need to be, deformities in the penis such as bending and curvature are also corrected. Underlining that it requires a real team play between the teams, Assoc. Dr. Şafak Karaçay explains the following about the things to consider after surgery: “Protecting the baby or child from infection is the most basic principle. However, protection from mini-traumas, ensuring urine flow through a catheter, and hygiene are issues that need to be taken into consideration. Families who pay attention to these instructions, which are not difficult, generally do not experience any additional problems.”
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