Hypospadias is when the hole through which the child urinates is below the penis, rather than at the tip.
The urinary tract is not fully formed in the area between this hole and the tip of the penis. The location of the urinary hole can be anywhere on the body of the penis, in the area where the penis meets the bags, or even in the area called perineum close to the anus. Surgical treatment of those located lower down is more difficult.
Hypospadias is called by different names among the public; The prophet can be said to be circumcised,
congenitally circumcised or half-circumcised. The main reason for these is that the front side of the foreskin in children is underdeveloped.
Hypospadias is a congenital condition. The exact cause is unknown.
The presence of concomitant urogenital system anomalies along with hypospadias, especially in severe cases, supports that it is a congenital condition. It is one of the most common conditions in pediatric urology practice. It is seen in one in every 300 boys. Diagnosis can be easily made with a careful physical examination when the baby is born. Especially
In severe cases, the possibility of other urogenital system disorders is also higher. For this reason
in severe cases, especially the urinary system (kidney, urinary discharge ducts and
bladder) must be examined.
The only treatment option is surgery. Since it is necessary to avoid painful interventions on the penis between the ages of 2 and 6, which is called the phallic period, which is the period in which the child discovers his sexual identity, hypospadias surgery should be performed before this period. 6-18 months is recommended as the ideal period for surgery. Surgical intervention during the diaper period is also easier to care for.
The main purpose of the surgery is to bring the urinary hole, called the urethra, to the tip of the penis.
The curvature of the penis, if any, must be corrected. Urinary catheters called stents
are necessary for recovery. The complication rate is very high in inexperienced hands. The most common
complication is fistula development; The urinary hole is moved to the tip of the penis, but occasionally
urine comes from more than one hole due to the opening of the stitches. This complication
advance No intervention can be made until 6 months have passed after the procedure. However
It is also one of the easiest complications to fix. Other complications include complete opening of the stitches,
bleeding, and gangrene development on the skin of the penis.
Stenosis and curvature of the penis are other important complications.
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