What is Hypospadias?
What is Hypospadias? Hypospadias is a condition in which the urethra is not in a normal position. Urethra is a channel connecting the bladder with the tip of the penis. Under normal conditions, the urethral opening is located right on the tip of the penis to remove urine. But in people with hypospadias, urethral hole just at the bottom of the penis.
Hypospadias include congenital abnormalities that mean suffering from birth is quite common. This condition can be mild, ie if the tip of the urethra only shifts slightly from its normal position, or it can be severe if the urethral end is far from the normal position, for example near the scrotum or testicles.
In addition to urinary processes that are slightly different from normal people, hypospadias can also cause penile deformities. The penis can bend downward due to the pull of the skin around the urethra. This condition can affect the confidence of a man.
The surgical procedure will usually improve the penis shape until it returns to its normal position. With proper treatment, men with hypospadias can generally perform normal urination and reproductive function.
Symptoms and Complications of Hypospadias
Hypospadias experienced by each patient vary. The severity depends on the location of the urethral opening. In general, the urethral opening in hypospadias is located near the tip of the penis. But there are also people with urethral holes located in the middle or base of the penis (near the scrotum). This second position is called severe hypospadias.
Outside of the urethra hole, other hypospadias tend to look similar. Among others are:
- Foreskin that looks shaded the tip of the penis. This happens because the foreskin does not develop at the bottom of the penis.
- Penis is curved down due to the occurrence of tissue tightening under the penis.
- An abnormal spark that occurs during urination.
Take your child to the doctor if you notice any of the above symptoms in your child, especially the location of the abnormal urethral opening.
If not treated properly, then the hypospadias can be affected by several complications such as:
- Impaired due to abnormal ejaculation.
- Children difficult to learn to urinate in the restroom.
- Penile curve is not normal during erection.
- Penile form is not normal.
- Psychological disorders, because patients tend not confident because the condition of his vital tool
Causes and Risk Factors for Hypospadias
Hypospadias is a disorder that occurs from birth. Just like any birth defect in general, the cause of abnormal development of the penis is not known for certain.
The formation of the penis during the baby is in the uterus is determined by several things, one of which is the male sex hormone, namely testosterone. Hypospadias is thought to be caused by the inhibition of the hormone testosterone, so the growth of the penis becomes disturbed.
There are several factors that are suspected to trigger hypospadias. One of them is family history. Hipospadia is not a hereditary disease, but this condition can sometimes occur in infants who have family members with the same condition.
In addition to heredity, other trigger factors are thought to also have an impact on fetal development during pregnancy. For example the influence of maternal age above 40 years during pregnancy and exposure to cigarettes or chemical compounds during pregnancy, especially pesticides.
Diagnosis and Treatment of Hipospadia
Hypospadias can generally be diagnosed soon after the baby is born. This diagnosis can be done through a physical examination of the penis and does not require other tests.
However, severe hypospadias require more detailed examination to ascertain the presence or absence of an abnormality in the genitalia of the person. Therefore, doctors will advise patients to undergo chromosome tests and the process of scanning the genital area.
Although positively diagnosed with hypospadias, your baby or child does not necessarily require medical treatment. This depends on the severity of the hypospadias experienced.
Some of the goals of treating hypospadias is to make the urine flow out through the front end of the penis, making the penis not bend when erect, and make the penis look as normal as possible.
If the urethral aperture is located very near from the intended location and the penis shape is not curved, special medical treatment may not be necessary. But if the urethral opening is far from the right location, urethral removal surgery is necessary.
This operation can be undertaken anytime, but the ideal time is when a child aged four months to 1.5 years. In this procedure, the surgeon will position the urethra at the appropriate location. Likewise with the shape of the penis that curved down due to the growth of the foreskin is not normal, the doctor will improve so that the penis back to normal shape.
The surgeon may also require a graft tissue taken from the foreskin or the inside of the mouth to reconstruct the urinary tract, if the urethral opening is near the base of the penis. Keep in mind that a network of foreskins is usually required in this operation. Therefore, avoid the process of circumcision before this reconstruction procedure is performed.