Plastic Surgery | Reconstructive Surgery

PROCEDURE : SURGICAL

What is hypospadias?
  • Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of at the tip.
  • This condition affects the normal flow of urine and can lead to complications if not treated.
How common is hypospadias?
  • Hypospadias is a common congenital anomaly, occurring in approximately 1 in every 150 to 300 male births.
  • The condition is the second most common birth defect in males, following undescended testicles.
What are the types of hypospadias?
Hypospadias is classified based on the location of the urethral opening:
  • Glanular Hypospadias: The opening is near the head of the penis.
  • Coronal Hypospadias: The opening is just below the head of the penis.
  • Midshaft Hypospadias: The opening is along the shaft of the penis.
  • Penoscrotal Hypospadias: The opening is where the penis and scrotum meet.
  • Scrotal/Perineal Hypospadias: The most severe form, where the opening is on or below the scrotum.
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After
What are the symptoms of hypospadias?
  • The primary symptom of hypospadias is the abnormal placement of the urethral opening.
  • Additional symptoms may include:
    - Downward curvature of the penis (chordee).
    - Abnormal spraying during urination.
    - A hooded appearance of the penis due to incomplete foreskin development.
How is hypospadias diagnosed?
Hypospadias is typically diagnosed during a physical examination shortly after birth. In some cases, the diagnosis may be delayed until circumcision or during a paediatric check-up.

What causes hypospadias?
  • The exact cause of hypospadias is often unknown, but it may be related to genetic and environmental factors.
  • Possible contributing factors include:
    - Family history of the condition.
    - Maternal age over 35 years.
    - Exposure to certain chemicals or medications during pregnancy.
Dr. Aakansha
What are the complications of untreated hypospadias?
If left untreated, hypospadias can lead to:
  • Difficulty with urination.
  • Abnormal penile curvature.
  • Challenges with sexual function in adulthood.
  • Potential fertility issues.
When is surgery necessary for hypospadias?
  • Surgery is typically recommended for hypospadias to correct the urethral opening and any associated penile curvature.
  • The ideal time for surgery is between 6 to 12 months of age.
  • Some mild cases may not require surgical intervention.
What does hypospadias surgery involve?
Hypospadias surgery, also known as hypospadias repair, involves repositioning the urethral opening and correcting any curvature of the penis.

What are the risks associated with hypospadias surgery?
While generally safe, hypospadias surgery carries some risks, including:
  • Infection or bleeding.
  • Urethral fistula formation (an abnormal connection between the urethra and skin).
  • Scarring or narrowing of the urethra.
How long is the recovery after hypospadias surgery?
  • Recovery typically takes about six to eight weeks, with follow-up visits to monitor healing.
  • Parents should follow post-operative care instructions to ensure proper healing and avoid complications.
Can hypospadias be prevented?
  • There is no definitive way to prevent hypospadias, but reducing exposure to certain environmental risks during pregnancy may lower the chances.
  • Pregnant women are advised to avoid smoking, alcohol, and certain medications.
What is the long-term outlook for children with hypospadias?
With successful surgical treatment, most children with hypospadias lead normal lives with normal urinary and reproductive functions.
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