The majority of guys are born with healthy, normal penises. But some males are born with hypospadias, a common disorder. Hypospadias creates a penis that is abnormal in appearance and function. To solve this issue, paediatric urologists have developed numerous surgical methods. You can discuss your concerns with your son’s urologist using the information below.
What is Hypospadias?
The absence of the meatus at the tip of the penis is known as hypospadias. Instead, the hole could be anywhere along the penis’s bottom. Near the tip of the penis, the meatus (hole) is most frequently located (“distal” position). However, it can also be located inside the scrotum or between the center of the penile shaft and the base of the penis (“proximal” positions). Distal hypospadias affects more than 80% of the guys with this health condition. A disorder is known as “chordee” affects the penis in 15% of those cases, causing a small downward curve. More than 50% of patients have curvature as the meatus expands further down the shaft. One in 200 males may be born with the birth defect hypospadias.
Symptoms of Hypospadias
- Urine does not flow straight
- Penis curving downward
- In ten percent of the cases, the testes do not descend fully into the scrotum.
- The skin at the top of the penis is not complete. (Babies who have hypospadias must not be circumcised.)
Causes of Hypospadias?
The crucial stages in the development of the penis happen between weeks 9 and 12 of pregnancy. Male hormones instruct the body to develop the urethra and foreskin during this period. Issues with hormones may be the cause of hypospadias.
Diagnosis of Hypospadias?
Most frequently, it is detected at birth. The foreskin frequently has incomplete underdevelopment in addition to having the meatus in the incorrect location. This causes a “dorsal hood” to form, exposing the penis’ tip. The foreskin’s appearance frequently draws attention to the issue. However, some neonates have a foreskin that is aberrant with the meatus in the expected location. Others may have an aberrant meatus hidden by a full foreskin. A testicle that hasn’t completely descended into the scrotum affects about 8 in 100 boys with hypospadias.
Surgery is used to treat hypospadias. Since the late 1800s, surgeons have been treating hypospadias. There have been described about 200 different types of surgeries. However, only a few methods have been employed by paediatric urologists since the current era of hypospadias reconstruction started in the 1980s.
Making a normal, straight penis with a urinary channel that ends at or close to the tip is the aim of any sort of hypospadias surgery. The procedure primarily comprises 4 steps:
- Straightening the shaft
- Making the urinary channel
- Positioning the meatus in the head of the penis
- Circumcising or reconstructing the foreskin
A 90-minute (for distal) to 3-hour (for proximal) same-day surgery is frequently used to treat hypospadias. The repair may occasionally be carried out in stages. These instances frequently have significant chordee in the vicinity. Before creating the urinary channel, the paediatric urologist frequently wishes to straighten the penis.
In full-term, healthy boys between the ages of 6 and 12 months, surgeons prefer to perform hypospadias surgery. But children of any age and even adults can have their hypospadias corrected. Your doctor could advise testosterone (male hormone) therapy before surgery if the penis is tiny.
A quality restoration ought to endure forever. Additionally, it will be able to adapt when the penis enlarges during puberty.
A penis that functions well and seems normal is the product of modern hypospadias surgery (or nearly normal). To prevent urine from contacting the recently repaired tissue, many surgeons place a small tube (referred to as a “catheter”) in the penis for a few days after surgery. The diaper is where the catheter empties. While the catheter is in place, antibiotics are frequently administered.
Younger males appear to experience less pain following repair. The child doesn’t even remember the procedure when it is performed between 6 and 12 months of age, as most paediatric urologists advise. With the types of painkillers we now have, older boys also tolerate this surgery well. Treatment for bladder spasms may occasionally require medication.
Less than 1 in 10 boys who have distal hypospadias surgery experience complications. After a proximal correction, issues arise more frequently.
The most frequent issue following surgery is the development of a fistula in another area of the penis. This is due to the formation of a new pathway from the urethra to the skin. Scars can also develop in the urethral opening or channel. Urinary incontinence may result from these scars. If your child is suffering fring from hypospadias, and you are Searching the Best Paediatric hypospadias treatment in Pune, you must Consult Dr. Vishesh Dikshit –the best paediatric hypospadias specialist in pune if he complains of urine leaking from a second hole or a slow urinary stream.
The majority of issues start to show up within a few months of surgery. Fistulas or blockages, however, may not be discovered for many years. After the tissues have healed from the first operation, most flaws can be easily addressed through surgery (often at least 6 months).
In these unique circumstances, it can be difficult to consider additional surgery. However, certain choices present a chance for achievement. Fresh tissue from another section of the body can be used to repair unhealthy scarred tissues from previous operations (most often from inside the cheek). It is possible to do this and still have a functional urinary channel. Your Pediatric urologist will lead you to a facility that uses these procedures if they haven’t been used there already.
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About Dr.Vishesh Dikshit –Hypospadias Surgeon in Pune
Dr. Vishesh Dikshit graduated from Govt. Medical College, Calicut, Kerala, in 2004 with an MBBS degree in medicine. In 2012, he received an MS in General Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai, and in 2015, he received an MCh in Pediatric Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai.
Dr. Vishesh Dikshit, the best Hypospadias Surgeon in Pune, has dedicated himself to providing the highest-quality and most successful Hypospadias Surgery in Pune for the past 17 years. He is the best pediatrician who treats a wide range of pediatric surgeries. In particular, he is interested in Pediatric Minimal Access Surgery (through Laparoscopy, Thoracoscopy, and Genitourinary-scopy), Pediatric Colorectal diseases (including Hirschprung’s disease and Anorectal Abnormalities), and Pediatric Urology Disease.
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Dr. Vishesh Dikshit is the Best Pediatric Surgeon in Pune having 17+ years of experience. Book your appointment today with Dr. Vishesh Dikshit for any queries about your child's condition.