Hypospadias

Effects of Hypospadias & Chordee: During childhood, urinary stream is poor and falls between the thighs, this affects the child psychologically as he feels low self esteem compared to peer group & school.

In adult life, it poses problem in intercourse during married life and may cause infertility as semen cannot be discharged from the tip of penis.

Treatment: Timely Surgical Correction under General Anesthesia, is the only treatment in hypospadias associated with chordee. It may be done in One or more stages

AIM of surgery; cosmetic and functional.

1). Cosmetic: A normal appearanceof penis with straight shaft, uniform thickness, an adequate conical glans, a good urethral diameter and meatus at the tip of glans penis is the aim.

2). Functional: Straight shaft on erection so that urine stream comes out from the tip just like normal infants. In adults, Straight penis of uniform thickness with meatus at tip so that semen discharge is from the tip of penis.

Timing of Surgery: 1 year to 3 years of age, before going to school. It depends on weight and nutritional status of child, anthropometry of penis and; associated anomalies like hypogonadism, undescended testis, DSD, etc.

Stages; One or Two stages usually, sometimes more stages depending on severity of condition and healing.

Complications: Infection, Bleeding, Fistula , stenosis, stricture, flap necrosis, diverticula formation. All can be corrected.

For about 2-3 in 10 boys, the original hole opens up again, so that your son passes urine through two holes. This can happen at any point after the operation, and will need to be fixed in an operation.