Table of contents:
- Treatment for hypospadias
- 1. Repair the location of the urethra
- 2. Straighten the penis
- 3. Creates creases and unfolds layers
- Treatment after hypospadias treatment
Hypospadias is a congenital defect that occurs in male babies. This condition causes the urethra (urethra) not to be at the tip of the penis, but at the shaft of the penis. In fact, some are at the meeting between the penis and the scrotum (testicles). What medications should be used for babies with hypospadias?
Treatment for hypospadias
Hypospadias occurs when the urethra is not fully developed. Usually, this condition occurs in conjunction with other conditions, such as a curved penis (chordee) or incomplete foreskin (the skin covering the penis).
The urinary hole is in a place where it shouldn't make it difficult for the child to urinate, be it the position of the urine or the flow of the water that is not directed properly.
Without treatment, hypospadias can make it difficult for men to have offspring because the sperm ducts are also imperfect. Hypospadias treatment itself can be done when the baby is 6 to 12 months old.
Reporting from the Children's Hospital of Pittsburgh page, treatment for congenital defects will be adjusted according to the severity, as follows:
1. Repair the location of the urethra
Correcting the location of the urethra requires surgery. This operation will support normal penis function and reduce the deformity that occurs.
Most of these can be completed in a single operation. Some of them need further treatment to correct other disabilities. Usually, this repair process will use part of the foreskin to reshape the urethra in the correct location.
2. Straighten the penis
In addition to improving the location of the urethra, the patient may need additional treatment, namely straightening the penis. The reason is, almost all hypospadias patients experience a curved penis.
To straighten it, the doctor will make a circular incision around the skin of the penis. When the foreskin is separated from the shaft of the penis, the bands of limiting tissue are released so that the penis is straight back.
In addition to the skin of the penis, at this stage of treatment for hypospadias, surgery can also be performed on the skin of the scrotum or perineum (the area that connects the penis to the anus). This procedure is usually performed if the process of straightening the penis needs to be done gradually.
3. Creates creases and unfolds layers
If the penis is still not straight, there will be further action. This advanced process has several procedures, namely:
- Creates a crease at the top of the penis to correct the imbalance between the top and bottom sides so that the penis is no longer curved. This process will be performed if the curvature of the penis is relatively mild.
- Opens the lower layer of the penis area which is responsible for erection, namely the corpus cavernosum and corpus spongiosum. Then, a material from the graft will be inserted in the dermis (outer skin) area of the skin of the abdominal wall. In some cases, treatment of this hypospadias requires surgery of the urethral plate.
Treatment after hypospadias treatment
Generally, the process of repairing the location of the urethra and straightening the penis works well. Even so, there is still a risk of side effects, such as the formation of a fistula, which is a small gap between the urethra and the skin causing urine to leak.
Fortunately, this condition will get better on its own. Over the course of 6 months, the fistula formed will close again. In addition, the possibility of difficulty with erection and orgasm may also occur as a result of hypospadias treatment surgery.
After undergoing surgery, the patient is required to rest in the hospital for several days. Most likely the patient will experience vomiting, nausea, or decreased appetite. The penis area will also be swollen, but generally it will get better within a few weeks, usually 6 weeks.
To help pass stool, patients need a urine catheter for 15-14 days after surgery. In babies, the catheter will be drained into the diaper. Meanwhile, in older children or adults, the catheter will be threaded into a urine collection bag.
Over the course of several days, the urine that the patient passes out will be stained with blood. However, you don't need to worry, this is normal.
Another treatment that supports the treatment of hypospadias is the administration of antibiotics to prevent infection. The doctor may also give you other drugs to stop the muscles around the bladder from spasm as well as pain relievers.
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