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| Name | What is Hypospadias: Know more from a Top Hypospadias Surgeon: Dr A K Singal, Navi Mumbai, India |
| Video Uploader | Video From Pediatric Urology & Hypospadias Channel |
| Upload Date | This Video Uploaded At 28-05-2020 15:52:35 |
| Video Discription | Uploaded by Hypospadias Foundation email: [email protected] Hypospadias is a urological birth defect of penis where the urinary opening (pee hole) is not in the correct place but on the underside of the penis. The urinary opening can be anywhere from near the tip of penis to near the testis and hence severity of the hypospadias varies- the farther back the opening is, more severe is the hypospadias. Hypospadias encompasses two basic structural defects in the penis- abnormal location of the urinary opening and chordee (bend in the penis). Another minor defect is incomplete foreskin (prepuce) which does not lead to much cosmetic or functional impairment. We regularly use prepuce and its internal tissues for performing a strong structural hypospadias repair, hence circumcision most often is a part of the procedure. Functional issues in Hypospadias: Functionally, penis has two important aspects: 1. Ensure Smooth uninterrupted flow of urine-possible by a wide caliber of urethra 2. Sexual organ for intercourse and also for passage of semen for fertility Except in minor hypospadias, in all moderate to severe hypospadias both these functions are impaired unless corrected. Hence, in except minor hypospadias all other hypospadias need surgery. Cosmetic deformity in Hypospadias: Last but not the least, except for very minor hypospadias without chordee – all the other hypospadias lead to significant cosmetic deformity which most of the teenagers and adults would not accept as normal when they grow up. Genital perception is important in overall normal development of the child into a balanced teenager and adult later on. Ideal age for surgery in most of the hypospadias is between 6-15 months of age. If there are any co-existing problems or the child is preterm/ underweight, then surgery may be delayed till all other issues are sorted out. Other window of right age ofr hypospadias surgery is between 3years to 5 years of age when they are still preschool but mature enough to cooperate with treatment. Between 18months-3years, is a difficult time for kids to undergo hypospadias repair. |
| Category | Education |
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