In hypsoadias, which is popularly called congenital circumcision or prophetic circumcision, the urinary hole is located somewhere on the underside of the penis, rather than at the tip of the penis where it normally should be. In addition, the foreskin is not developed at different rates on the lower surface of the penis, and there is varying degrees of curvature on the body of the penis towards the lower surface (best seen especially in case of erection). Therefore, if not corrected by surgery, it may cause urination problems (inability to urinate while standing, wetting oneself), psychological problems as a result of being ridiculed, as well as the inability to have sexual intercourse in the future. Although the cause of its formation cannot be determined with certainty, some genetic, hormonal, environmental and chemical causes have been blamed. In the presence of very severe hypospadias, congenital sexual organ development disorders should also be investigated.
It is one of the most common congenital anomalies in boys. Its incidence is 1 in 300 boys. There is no definite reason for its occurrence.
Abnormalities in the penis should be detected through a careful examination and the surgery should be planned accordingly. These children should never be circumcised, as the existing foreskin may be injured during the surgery.
Hypospadias, which can only be corrected by surgery, should be operated carefully by a specialist with sufficient experience in this disease, as many and thin stitches are used in the surgery. The ideal age for surgery for hypospadias is 6-18 months. The aim of the surgery is to move the urinary hole to the tip of the penis and obtain a straight, non-curved penis appearance suitable for sexual intercourse. Circumcision is also performed in the same session. In cases of mild hypospadias, that is, in cases where the hole is close to the tip, surgery can often be resolved in a single session. However, in children with severe penis curvature, two-session surgeries are generally preferred. After the surgery, children are usually discharged on the same day, but in very rare cases, they may need to stay under observation in the hospital for a few days. In order to avoid any problems in the healing of the newly created urinary canal, a tube is placed inside the canal and this tube is kept for up to 7 days.
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