Hypospadias is a defect that occurs in boys during birth where the urethra is not in the normal position; at the tip of the penis. The urethra could form anywhere from below the penis to the scrotum area. One could suffer a mild or severe grade of this condition. There various types of hypospadias that are differentiated according to where the urethra forms.
• Mid-shaft is one where the tip of the urethra is located along the penis shaft
• If the urethra is located in the areas near the penis head, it is known as subcoronal hypospadias.
• For the Penoscrotal, the opening of the urethra is at the point where the scrotum and penis join.
At times, boys born with this condition will have other problems such as a curved penis and difficulty in controlling the direction of urine during short calls. Often they would need to sit on the toilet to urinate without spraying urine content all over the washroom. This condition needs earlier care before adulthood, to avoid certain difficulties, such as performing sex.
What Causes Hypospadias?
Although the main causes of this condition in infants are yet to be discovered, there is a perception by specialists that it could be linked to gene combinations. The mother's environment was exposed before giving birth and could also result in the condition. Additionally, other risk factors could include the food, drinks, and medications taken by the expectant mother are presumed to be causatives. However, comprehensive research is underway at the Center for Disease Control (CDC) to ascertain the exact cause of the condition.
For the patient to get treated for the disorder, the doctor must first confirm the type of hypospadias
. Most forms of this condition would require structural surgery to correct the deformity. However, where surgery is required, the hospital will wait until the boy is usually between three to eighteen months old. The surgery could be done in several stages to appropriately correct issues such as bending of the penis, replacing the opening of the urethra, and placing it in the right position. Since the operation requires the use of the foreskin, the boy would never get circumcised after everything is done.
After the operation is done and the correction has been made, one could experience certain complications when precautionary measures as stated by the doctor are not considered. Some of the problems may include;
This is sort of a wound that tends to narrow the urethra, restricting the flow of urine. This causes pressure that draws back to the bladders and kidneys.
This is the formation of an opening in the groin that may leak out urine. This could be unsanitary and lead to other infections or embarrassments. One has to consider correcting this complication. Often another surgery might be conducted. To confirm Urethrocutaneous fistula, the doctor will conduct tests such as Voiding Cystourethrogram, where a dye is injected in the patient’s bladder before being asked to pass out urine. Another test that could be used to diagnose this after-surgery complication is retrograde fistulograms.
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