a Genital Defect
of the penis.
of the urethra
is on the under
side) of the
of being on
the tip. In
opening is on
the upper side
of the penis.
is a tube that
urine and semen
and opens on
the tip of the
are the types of Hypospadias?
1) Glanular Hypospadias - The urethral opening
develops just below the end of the penis.
2) Coronal Hypospadias - The urethral opening
develops in the groove where the head of
the penis (glans) meets the shaft. 3) Penile
Shaft Hypospadias - The urethral opening
develops anywhere along the underside of
the shaft of the penis. 4) Perineal Hypospadias
- The urethra opens in the scrotum.
are the long term implications of Hypospadias
or Epispadias for my child?
Boys with Hypospadias are more likely to
have Undescended Testes. The most common
implications of Hypospadias are difficulty
urinating. It is difficult for the child
to urinate standing as the stream of urine
splatters all over the place. The cosmetic
appearance of penis in Hypospadias is different
from other boys which can be a cause of
anxiety. The penis in Hypospadias may be
curved which might make it difficult to
have sexual intercourse and / or cause painful
erections (Priapism). Boys who have Hypospadias
are also more prone to urinary tract infections
due to a short urethra. Hypospadias may
be associated with infertility to some extent
as the urethral opening might be too far
off on the shaft of the penis and may make
it difficult for the semen to be ejaculated
in to the vagina.
is surgical correction of Hypospadias important?
It is important to have the corrective surgery
for Hypospadias for your child to enable
him (as he grows older) to have a normal
sexual relationship and be able to urinate
does the surgical correction of Hypospadias
Surgical correction of Hypospadias is performed
in the first year of life as healing is
faster and formation of scar tissue is much
diminished. Do not circumcise your child
before the corrective surgery for Hypospadias
has been performed as the foreskin on the
penis will be utilized for surgical re-construction
of Hypospadias. The procedure for surgical
repair of Hypospadias is performed under
general anesthesia in a hospital setting.
Several different techniques are used for
the surgical correction of Hypospadias and
Epispadias. The basic goals of all of these
techniques is to 1) straighten the penis,
2) extend the urethra so that it opens on
the tip of the penis, 3) and reconstruct
the skin around the urethral opening. A
simple operation or multiple surgeries may
be required to repair Hypospadias. Your
child will stay in the hospital for 2 days
after the Hypospadias surgery.
to prepare your child for Hypospadias repair?
Your child will be hospitalized the night
before Hypospadias repair, you will be instructed
not to feed your child any food or drinks
for at least 10 hours before the operation.
Inform your surgeon and anesthetist if your
child has any medical conditions or allergies
to any medications.
to expect during the recovery period of
After spending a couple of hours in the
recovery room, your child will be brought
back to room and he can be fed now. There
will be a large dressing on the penis and
a catheter will be inserted for the urine
to drain from the urethra following Hypospadias
repair. There will be pain and soreness
after the surgery, your surgeon will prescribe
medication for pain relief. Keep the dressing
dry and clean to avoid infection at the
incision site. Do not give your child a
bath after the Hypospadias repair until
the dressing comes off. You will be instructed
to come back to the hospital after a week
to get your child's dressing and catheter
removed. Your child's penis may look red
and swollen which will settle down within
the next few weeks.
will happen if my child has surgical correction
of Hypospadias as an adult?
chances of postoperative complications will
most likely increase if Hypospadias repair
is performed on an adult. Amongst other
problems, the most outstanding one is decreased
sex drive and sexual activity which can
be considered to be the most serious one.
is the outcome of Hypospadias repair?
goal of the Hypospadias surgery is to permit
urination standing up and to have satisfactory
sexual relationships. Surgeons specializing
in uro-genital surgery use best of techniques
to give the penis an appearance which comes
as close as possible to the normal looking
one. In these techniques, a urethral meatus
is created on the tip and the penis has
a circumcised appearance.
Benefits of surgical correction of Hypospadias
repair can improve the appearance as well
as the functional problems of your child
like urination, sexuality and reproduction.
Hypospadias repair surgery straightens the
penis especially during erection, re-positions
the opening of urethra, urination is possible
in a straight stream and of course your
child's penis is normal in appearance.
Risks of surgical correction of Hypospadias
meatus too small - This is not too common
however, if it occurs then a revision
surgery is needed.
Bleeding during operation
Original hole opens up again - In this
case your child urinates from two openings.
This problem requires a revision Hypospadias
Urethral stricture - Narrowing of urethra
is a very common problem following Hypospadias
repair. This may happen due to formation
of excessive scar tissue inside the
Fistula formation - Leakage of urine
through holes along the suture line
Hair growth and formation of scar tissue
- This can reduce sensitivity of the
penis during sexual activity.
Alternatives to surgical correction of Hypospadias
is nothing else that you can do for your
child to correct this Genital Defect other
than to have the Hypospadias repaired surgically.
to "Cosmetic Surgery"