If precautions are not taken during childhood, this disease can lead to infertility.
Hypospadias disease is defined as a congenital disease characterized by the presence of the urinary hole, which should be located at the tip of the penis, on the underside of the penis. It occurs on average in one in 300 boys. It can also be seen as a double hole in patients where the true urinary hole is close to the tip. Most of these patients have an anterior curvature of the penis. Because the foreskin develops on the back and not on the underside, it is often referred to as semi-circumcision or prophetic circumcision. While the exact cause is unknown, causes of hypoaspadias include;
– Advanced maternal age
– Some hormones and drugs given to the mother during the threat of miscarriage during pregnancy,
– Having identical twins
– Conditions such as premature birth
Get a postpartum pediatric surgical exam
Hypospadias is a disease with a high familial predisposition. Hypospadias disease is a disease known since ancient times and has many different types and classifications. During the first postnatal examination, pediatricians notice the disease or mothers notice the disease when changing the baby’s diaper, with the absence of the foreskin on the underside of the penis, the urethra on the underside of the penis and the anterior penile curvature. However, the diagnosis of hypospadias is confirmed by pediatric surgical examination.
Take action early
In addition to the existing disease in children with hypospadias; Some diseases such as inguinal hernia, undescended testis, bladder reflux, swelling in the kidneys, congenital absence of a kidney or abnormalities in sexual development can be associated. The more severe the type of hypospadias, the greater the risk of additional abnormalities. In children with severe hypospadias, renal abnormalities if a unilateral undescended testis is present and sex developmental abnormalities if a bilateral undescended testis are present should be investigated. Early diagnosis and treatment should be started.
Don’t be afraid of surgery
Health problems that require surgery in infants in the newborn period can cause panic and anxiety in parents. A pediatric surgeon should be consulted on how the treatment process will work by staying calm after the diagnosis. The ideal time for hypospadias surgery is considered to be between 6 months and 1 year. In patients with mild distal hypospadias, surgery usually takes 1-1.5 hours. In more severe types, it can often take longer.
Hypospadias surgery is performed under general anesthesia supported by penile block or spinal cord block. Since the foreskin is used during surgery, these patients should definitely not be circumcised before surgery. The patient is discharged from surgery the next morning. If hypospadias surgery is postponed as age increases; wound healing and the patient’s return to their normal active life are delayed, the risk of infection increases, the patient’s trauma and psychological effects are greater. Therefore, it is very important not to be late for treatment.