Hypospadias (Prophet Sunnah)

What is Hypospadias?

The urine hole that should be on the top of the penis is somewhere lower. It can be immediately 1-2 mm below, in the middle of the penis, in front of the bags or even lower. It is a congenital problem.

Hipospadias1

The most common type of hypospadias is the location of the first 3 holes close to the hill. 70% of patients make up this group.

hipospadias-2

İlk resim ameliyat öncesi. Onarım için iyi bir hasta. Delik çok aşağıda değil ve oluk derin. İkinci resim onarım sonrası.

What are the symptoms of hypospadias?

The foreskin covering the penis is insufficient on the underside. The skin covers the head of the penis like a hat. The urinary hole is not in its normal position. Downward curvature is also present in 20% of patients. In 70% of patients, the hole is near the tip. These patients are more fortunate.

What are the causes of Hypospadias?

There may be hormonal, genetic factors, familial transition. It occurs in one out of every 300 males.

What are the symptoms of hypospadias?

The foreskin covering the penis is insufficient on the underside. The skin covers the head of the penis like a hat. The urinary hole is not in its normal position. Downward curvature is also present in 20% of patients. In 70% of patients, the hole is near the tip. These patients are more fortunate.

What are the causes of Hypospadias?

There may be hormonal, genetic factors, familial transition. It occurs in one out of every 300 males.

What are the Risk Factors of Hipospadias?

These children are circumcised by some families by trying prophet circumcision so that the skin to be used in surgery is wasted. If left untreated, there may be infertility, psychological problems, marriage problems.

What are the Complications of Hypospadias?

Surgery is essential by experienced physicians. The first surgery is important. When bad surgery is performed, these children run the risk of having surgery (we witnessed 12 times) many times in their lifetime.

What should be done before the doctor’s appointment in Hypospadias Disease?

These children should never be circumcised. It should be seen by a urologist immediately after birth. If surgery is planned, it is planned after the sixth month. Surgery during surgery increases both success and children and their parents have a more comfortable post-operative period.

What are the Testing Methods for Hypospadias?

Just seeing is enough. Kidney abnormalities may occur in children with the hole too low. In these children, all abdominal ultrasonography and genetic tests may be required.

What are the Treatment Methods of Hypospadias?

Treatment of hypospadias is surgery. The operation age is every period after the sixth month. Even in the military age, there are patients who have undergone over hundred hypospadias surgeries. In cases where the hole is close to the hill, one-session surgery is recommended (Figure 5). We are doing circumcision together. We do not want the child to be exposed to a second surgical stress. In these patients, there is a risk of opening a new hole in the bottom, which we call 15% fistula. In this case, a second 15-minute surgery may be required. We do this operation 3-6 months later.
If the hole is lower, that is, close to the bags, in this case, we perform single or two session surgeries. The penis of these children is curved downward. We fix it first. We also correct hypospadias in eligible patients. In some cases, we leave it to the second session. We are having the second session six months later.

What Can Happen If Hypospadias Surgery Is Not Performed Well?

The purpose of this surgery is to carry the hole to the top. Of course, while doing this, it is necessary to make a urinary channel without stenosis, the penis should be straight and cosmetically beautiful and the outer urine hole should be vertical and original. When the first operation is not performed well, surgeries that exceed them may be required. Urine duct enlargement may be needed for life. It may have bad cosmetic result and curved penis.

What are your final suggestions for the family with children with hypospadias (prophet circumcised)?

-Please contact an experienced urologist during the newborn period and never get circumcised.-Wait for the sixth month for the operation. -Although the age of surgery can be any age after the sixth month, it is important to get rid of this disease, preferably under 2 years of age. -Hardening of the penis at advanced ages and genital secretions and discharge after adolescence affect the operation adversely. -It is important that the first surgery is successful. If this chance is not used well, you are more likely to have numerous surgeries afterwards. -The postoperative period is 1 week. Do not neglect the doctor’s control after the catheter is withdrawn. -This surgery is not performed by every physician in urological practice or at least not properly. -Ask your doctor’s experience.



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