Hypospadias means opening of peephole on under surface of penis and not at the tip. Depending on location of opening, it can be distal (near the end of penis), mid – penis or proximal (near the base of penis).
Hypospadias surgery is highly skilled and technically demanding surgery. It should be done only by paediatric urologist who has been extensively trained for this surgery. Since specific surgery to be performed differs from patient to patient. Hence who has got experience and witnessed all types of surgeries for hypospadias, should only attempt this surgery.
Principally this anomaly include three abnormalities
1. Abnormal opening of meat us (on under surface of penis)
2. May be associated with chordee (that is bending of penis)
3. May be associated with small size penis
Small size penis can be managed by local application or intramuscular injections of sex steroid hormones. However other two abnormalities need surgery.
DISORDERS OF SEXUAL DIFFERENTIATION (DSD)
This is the set of disorders in which there is difference in external and internal sexual organs. Clinical features can be confused appearance of genitalia (external sex organs), menstrual irregularities in adolescent girls or abnormal sexual orientation.
We are privileged to have a team compromising of Pediatric Urologist (Dr. Dinesh Sarda), Paediatric Endocrinologist (Dr. Hari Mangtani), Gynaecologist (Dr. Swati Sarda) and Counselor.
In last 3 years more than 60 cases have been registered. Out of them 23 cases has been corrected surgically.
FAQs
1. Why this abnormality has happened?
Answer: There is no specific reason why your child developed this abnormality.
2. What is the treatment of this abnormality?
Answer: This abnormality can be corrected by surgery.
3. Can this be managed without surgery and what if we do not operate?
Answer: No medicine can cure this abnormality. If we do not operate his penis will keep on growing in bent position. In such circumstances child will not be able to pee in standing position like any other normal child. In adult life, there may be difficulty in sexual intercourse because of bent penis.
4. What should be appropriate time to operate?
Answer: Appropriate time to operate is 1 to 1.5 years of age. This is because in case if he requires 2nd step surgery , that can be done at 2.5 years of age (1 year later) so that he is free before his schooling starts at 3 years of age.
5. Do you mean that he will need more than one stage? Can it not be done in one step?
Answer: Most of the surgeries can be done in single step. However few times two stage surgery may be required for severe cases of hypospadias. Or in case some complication arises, second surgery may be required.
6. Oh… What can be complications of this surgery?
Answer: Two major complications are disruption or fistula formation. Many of fistulas heal by themselves spontaneously. However persistent fistula or disruption requires second surgery. Chances of this complication is around 5 to 10 %.
7. How big is surgery? What is the risk?
Answer: Surgery is not high-risk provided child is not having concomitant medical illness like sickle cell disease, heart conditions, convulsions, asthma etc. However, surgery is highly skilled need to be done delicately and with great expertise.
8. For Any other queries author may be contacted.
