Patient's question:
My son is 7 years old. When he was born, he had mild hypospadias, and the doctor said it was the mildest form and didn't need to be treated. He also had phimosis, and the doctor performed separation, but now there is still a groove on the glans that hasn't been fully separated. Should it be separated, and when is the best time to do it? Additionally, I noticed his testicles are relatively small—is there a problem? If treatment is needed, how should it be treated, and at what age is it best to treat it?Doctor's answer:
Hello, hypospadias is divided into four types: glans type, penile type, scrotal type, and perineal type. Surgical treatment is required. The principle is to correct the penile curvature deformity and to reconstruct the urethra to restore normal urination and erectile function. A satisfactory outcome is: the postoperative urethra allows the patient to urinate while standing, the penis can be straightened during erection, and the appearance is satisfactory. The surgery should be performed before school age to prevent psychological disorders in children. If the testicles are indeed small, human chorionic gonadotropin (HCG) can be tried, with intramuscular injections twice a week, each time 1000 units, totaling 10000 units. As for preputial adhesion, it should be treated at the same time during surgery. Wishing the child a speedy recovery.