What is infant hypospadias?
Hypospadias (pronounced hype-oh-spay-dee-us) is a birth defect in boys where the opening of the urethra (the tube that carries urine from the bladder to the outside of the body) is not located at the tip of the penis.
What is hypospadias and how is it treated?
Hypospadias is a birth defect where the urethra doesn’t develop properly in a baby’s penis. The urethra is the tube that carries urine and sperm through the penis to exit the body. Treatment prevents problems later in life, such as having to sit to pee or difficulties having sex.
What are the side effects of hypospadias surgery?
Common acute complications are:
- Bleeding and hematoma.
- Edema.
- Wound infection.
- Wound dehiscence.
- Skin necrosis.
- Flap necrosis.
- Fistula.
- Penile torsion.
Is hypospadias surgery painful for babies?
Each child’s pain level is different, but typically the most discomfort will occur in the first two to three days after hypospadias repair. We will prescribe pain medication after surgery which typically includes Tylenol and possibly Motrin.
How do they do hypospadias surgery?
The surgeon will use a small piece of foreskin or tissue from another site to create a tube that increases the length of the urethra. Extending the length of the urethra will allow it to open at the tip of the penis. During surgery, the surgeon may place a catheter (tube) in the urethra to make it hold its new shape.
What does a hypospadias look like?
Signs and symptoms of hypospadias may include: Opening of the urethra at a location other than the tip of the penis. Downward curve of the penis (chordee) Hooded appearance of the penis because only the top half of the penis is covered by foreskin.
Why does hypospadias happen?
Hypospadias is present at birth (congenital). As the penis develops in a male fetus, certain hormones stimulate the formation of the urethra and foreskin. Hypospadias results when a malfunction occurs in the action of these hormones, causing the urethra to develop abnormally.
Is hypospadias surgery necessary?
Some forms of hypospadias are very minor and do not require surgery. However, treatment usually involves surgery to reposition the urethral opening and, if necessary, straighten the shaft of the penis. Surgery is usually done between the ages of 6 and 12 months.
How successful is hypospadias surgery?
found that the success level of hypospadias repair in patients with a previous history of procedures was 76.5%, and it was 91.3% in patients with no previous history of procedures. The overall success level was found to be 88%.
How is hypospadias causes?
Is hypospadias a major surgery?
This surgery lasts a lifetime. Most children do well after this surgery. The penis will look almost or completely normal and function well. If your child has a complicated hypospadias, he may need more operations to improve the penis appearance or to repair a hole or narrowing in the urethra.
What age is hypospadias repair?
Over the last 3 decades the recommended age for hypospadias repair has come down [1–3]. Based on expert opinion, most recent North American and European guidelines recommend surgical correction of hypospadias between 6 and 18 months of life [1, 4].
How long does hypospadias surgery take to heal?
Full healing will take up to 6 weeks. Your child may need a urinary catheter for 5 to 14 days after the surgery. The catheter may be held in place with small stitches.
How is hypospadias surgery done?