Hypospadias is a congenital anomaly seen in boys. In this condition, the urinary opening (the urethral opening) is located not at the tip of the penis where it should be, but in a lower area.
This condition is not just a cosmetic problem; it can affect the function of urination and, at later ages, sexual function. For this reason, correct planning in the early period is very important.
Clinical Significance
When hypospadias is left untreated:
- A directional problem occurs when urinating
- Curvature of the penis can affect sexual function
- It can later lead to psychological and self-confidence problems
For this reason, delay in treatment is not recommended.
Symptoms
- The urinary opening not being at the tip of the penis
- Urine flowing downward or in a different direction
- Curvature of the penis (chordee)
- The foreskin being partially developed
Diagnosis
- A detailed physical examination (often sufficient)
- Additional urological evaluation in rare cases
Treatment Approach (Surgery in the Foreground)
The only and permanent solution for the treatment of hypospadias is surgery.
Surgical Correction (Gold Standard)
- Moving the urinary channel to its normal anatomical position
- Correcting the curvature of the penis
- Providing a cosmetically normal appearance
It is generally recommended to be performed between 6 and 18 months. A successful result can be obtained in a single session (varies according to the case).
The aim is not only appearance but also to provide normal urination and healthy sexual function in the future.
The Importance of Surgical Planning
- The technique may differ for each patient
- The quality of the tissue and the degree of the anomaly are decisive
- The choice of an experienced surgeon directly affects the result
Why Early Surgery?
- Tissue healing is faster
- Psychological impact is prevented
- More successful functional results are achieved
Frequently Asked Questions
Is hypospadias surgery difficult?
When performed by experienced surgeons, the success rate is quite high. It requires technical precision.
Can circumcision be performed?
No. Performing circumcision before surgery is strongly not recommended, because the tissue that will be used in the operation is needed.
What is recovery like after surgery?
Children usually recover in a short time. The follow-up process is important.
Is a single operation enough?
In most cases, yes. However, in severe hypospadias, additional intervention may be needed.
What happens if it is left untreated?
- Urination problems continue
- Curvature of the penis can progress
- Sexual function can be affected in adulthood
Clinical Summary
Hypospadias is a disease that can be completely corrected with surgical treatment that is correctly planned in the early period. The aim is to ensure that the child has both normal urinary function and a healthy sexual life in the future.
