Hypospadias


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Related to Hypospadias: Hypospadias and Epispadias

hypospadias

[‚hī·pō′spād·ē·əs]
(medicine)
Congenital anomaly in which the urethra opens on the ventral surface of the penis or in the perineum.
Congenital anomaly in which the urethra opens into the vagina.

Hypospadias

 

a congenital underdevelopment of the urethra consisting in the absence of its lower wall, so that the urethra does not open, as usual, in the glans penis, but instead on the underside of the penis, the scrotum, or the perineum.

Hypospadias is the most commonly found anomaly in the development of the organs of the male urogenital system. It is manifested by impairment of urination and, in adults, of sexual functions. In strongly pronounced hypospadias sexual activity is made difficult and sometimes impossible because of deformation of the penis. In extreme cases of scrotal and perineal hypospadias mistakes in determining sex are common. No treatment is required in minor cases of hypospadias; in all other cases, surgery is necessary.

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Also, 27(26%) subjects presented with gynecomastia, 92(88.5%) with micropenis, 71(68%) with undescended testes, and 7(6.7%) presented with hypospadias. Baseline values of all subjects were noted (Table-1).
In spite of being one of the most frequent complications of hypospadias, HAUS still remains poorly described which has led to difficulties comparing outcomes and studies.
All cases, irrespective of their age are managed for hypospadias at the Paediatric surgery department, KGH, Vizag from January 2017 to august 2018 were included.
Records of 98 patients who underwent hypospadias surgery performed under the supervision of a pediatric urologist between 2008 and 2015 were retrospectively investigated.
Conclusion: Stents are routinely used in many centres after urethroplasty for hypospadias repair leading to higher incidence of urethrocutaneous fistula.
Excision of the ventral penis and using its preputial skin for hypospadias repair (Duckett tube) of the dorsal penis has also been reported in the literature (3).
Two staged Aivar Bracka (AB) repair is a relatively new technique, which gained tremendous popularity due to its versatility in that it can be used for any case of hypospadias with any degree of chordee.
Such balance is required for the proper differentiation of the genital tubercle and its dysregulation results in hypospadias in which the urethra opens on the under side of the penis and not at the tip.
To date, no published study has prospectively examined the efficacy of antibiotics at a prophylactic dose in the acute postoperative setting after single-stage primary repair of mid-to-distal hypospadias. Our study aims to address this question with regard to urine characteristics in the postoperative period as well as clinical outcomes of postoperative complications and symptomatic UTIs.
Complications in males often include hypospadias, ambiguous genitalia, and infertility.
This surgery requires general anesthesia, and there have been a number of studies published recently (i.e., NEJM and Pediatrics) that suggest that this poses serious risks (learning disabilities, etc.) Of course for life-threatening conditions, you would need to operate, but for a non-life-threatening condition (mild hypospadias) I wonder if the pros outweigh the potential cons?
Hypospadias is a congenital disorder of the urethra where the urinary opening is not at the usual location.