Patient's question:
My son is now over a year old. He was diagnosed with congenital hypospadias at Liuzhou Fukang Hospital, and now he finds it difficult to urinate.Doctor's answer:
Hypospadias is a congenital disease of the pediatric urogenital system, characterized by the urethral meatus not being located at the tip of the glans, and abnormal fibrotic tissue on the ventral side of the penis causing curvature, making it unable to stand straight during erection. In mild cases, it may only affect appearance, but in severe cases, it may require squatting to urinate and normal erection is impossible. The only treatment for hypospadias is surgery. The current trend is to perform surgery at an early stage. In plastic surgery, surgery can be performed as early as six months old, and it is hoped that the surgery will not be delayed until after starting kindergarten to avoid psychological impact on the child. The surgical method is divided into one or two stages based on the severity of the condition. After successful surgery, future sexual life and ejaculation should be problem-free, and fertility should be the same as that of the general population.There are over 150 types of hypospadias repair surgeries. The surgical method is divided into one or two stages based on the severity of the condition. In a single-stage procedure, fibrotic tissue is removed to straighten the penis and a new urethra is created. If performed in two stages, fibrotic tissue is removed first, and the second stage involves urethral reconstruction. After surgery, some patients may have leaks in the newly created urethra, which can be repaired with additional surgery. In recent years, it has become feasible to move the urethral meatus forward to the tip of the glans, meeting aesthetic requirements.