What are the three stages of hypospadias repair?
What are the categories of hypospadias repair?
- Orthoplasty: Straightening of the penis.
- Urethroplasty: Rebuilding the urethra so that urine and semen will flow as far forward as possible.
- Meatoplasty/glanuloplasty: Building a new opening and reconstructing the head of the penis as necessary to accommodate the new opening.
What happens if you don’t fix hypospadias?
If hypospadias is not treated it can lead to problems later in life, such as difficulty performing sexual intercourse or difficulty urinating while standing.
Can hypospadias be corrected?
Most forms of hypospadias can be corrected in a single surgery that’s done on an outpatient basis. Some forms of hypospadias will require more than one surgery to correct the defect.
How do they fix hypospadias?
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 is the best age for hypospadias surgery?
Surgeons prefer to do hypospadias surgery in full-term and otherwise healthy boys between the ages of 6 and 12 months. But hypospadias can be fixed in children of any age and even in adults. If the penis is small, your health care provider may suggest testosterone (male hormone) treatment before surgery.
What is the success rate of hypospadias surgery?
The overall success rate for adult hypospadias repair was 95% (38/40).
Is hypospadias surgery painful?
Hypospadias surgery is a delicate, skillful and complicated surgery. The good thing about hypospadias treatment is that young babies heal very fast and become well within a week to ten days after the hypospadias repair. Fortunately, unlike adults, the children do not think about pain.
How long does it take to recover from hypospadias surgery?
Your child’s penis will be swollen and bruised. This will get better after a few weeks. Full healing will take up to 6 weeks. Your child may need a urinary catheter for 5 to 14 days after the surgery.
What are the side effects of hypospadias surgery?
Risks and side effects of surgery
- Most children will need a catheter or stent for about a week after the surgery.
- There may be some bleeding from the penis.
- The wound may not heal well.
- The new opening may narrow, which makes it more difficult to pass urine.
- There may be incomplete correction of the bend.
Does Glanular hypospadias need surgery?
In glanular hypospadias, the opening of the boy’s urethra is located on the head of the penis, but not at the tip. This is the mildest and most common form, and it may not require surgical correction, because it does not cause the urinary stream to be misdirected or the penis to be curved during an erection.