Hypospadias

Hypospadias is the condition in which the urethra is lower in the penis than where it would normally be. In these patients, the foreskin is not fully developed in the anterior part of the penis, which is the reason why it is known as congenital circumcised among the people.

Reasons

This condition, which is defined with innocent expressions such as congenital circumcision, is actually a serious developmental disorder that can only be corrected by surgery. Although it is not known exactly why it occurs, some hormonal and genetic factors are thought to be effective.

It is seen in approximately 1 out of 300 births. This disorder, whose prevalence has increased in the last 25 years, is observed more frequently in children with low birth weight and those exposed to various hormone-containing pollutants. Hypospadias in the family members of 7% of people with hypospadias is an indicator of genetic predisposition. Again, in 10% of hypospadias cases, undescended testicles is observed, and inguinal hernia is observed in 9-15%.

Treatment

The treatment of hypospadias is surgery. Although the surgery can be performed at any age, the highest prevalence is among the ages between 6 months – 1.5 years.

It needs to be treated in order to obtain a cosmetically and functionally normal penis. If not treated, the problems that these patients may experience are;

  • Cosmetic problems,
  • Difficulty urinating standing up because the urinary hole is located downward,
  • If there is an accompanying urinary canal stenosis, urination difficulties or even a process that can lead to kidney failure in advanced cases,
  • Infertility (infertility) if the urinary hole is located too low or if there are accompanying undescended testicles and sexual development disorders,
  • In erection, downward curvature (cordial) can be seen in the penis, and this curvature may negatively affect sexual life.

There are many surgical techniques defined on this subject. The most commonly used surgical techniques are based on the principle of making the urethra into a tube through a catheter and carrying it to the tip of the penis. In these surgical techniques, the foreskin is used, and it is very important that these children are not circumcised.

NOTE: The page content is for informational purposes only, please consult your doctor for diagnosis and treatment.