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Hypospadias in Children by Dr. Saurabh Garge- Best Pediatric Urologist in Indore

Some baby boys are born with a condition called hypospadias. In this condition, the end of the urethra (the tube that carries urine out of the body) is not located at the tip of penis. The opening may be located on the underside of the penis instead.
This condition develops in the womb and is most commonly identified during the newborn’s first physical examination.

What Are Hypospadias in Children?

Hypospadias is one of the relatively common congenital disease usually seen in male newborns, says Dr. Saurabh Garge, best pediatric surgeon in Indore. With the right treatment and medical attention, many kids recover extremely well and lead a perfectly normal healthy life.
Hypospadias may not be severe; it can go anywhere from mild to a more prominent case. In some children, the opening occurs just below the tip of the penis However, in others it may be situated further down the shaft or near the scrotum.

Common Signs Parents May Notice

For example, doctors usually find hypospadias during the newborn checkup but parents may also notice signs that something is unusual.

  • Anus below the tip of penis
  • The penis is curved (which is known as chordee)
  • His foreskin might appear underdeveloped or hood-like
  • Saline or urine that sprays to one side
  • Loss of control or inability to point the urine

The signs, however, may vary based on the severity of the condition.

Why Does Hypospadias Occur?

Hypospadias begins developing in the womb. In early pregnancy, male reproductive organs develop in the presence of specific hormones. Because this process of development can be altered slightly, the urethra may not completely form at the very tip of the penis. The exact reason for this is not known in many cases. Doctors, however, believe a handful of factors could be in play:

  • Genetics / family history
  • Hormonal changes during pregnancy

Types of Hypospadias

Hypospadias can be separated into classifications by doctors based on the exact place of the urinary aperture. The main types include:

  • Distal Hypospadias - The opening is near or at the head of the penis. This is the most common type.
  • Midshaft Hypospadias - a hole is located in the center of the penis shaft.
  • Proximal Hypospadias - It is characterized by a discharge valve near the scrotum or base of the penis.

When Should Treatment Be Considered?

Hypospadias treatment generally includes corrective surgery to place the urinary opening in its proper position and reform the penis if bent. The doctors then generally suggest operative intervention when the child is around 6 to 18 months of age. Early treatment has several benefits:

  • Surgery is easier to do at a younger age
  • Babies usually heal faster
  • Improved pharma-cosmetic and effectiveness
  • The child may face less emotional trauma later in life

Doctors also tell parents to avoid circumcising the baby before evaluation because the foreskin might be needed for surgical repair.

How Hypospadias Surgery Helps

Hypospadias surgery aims to achieve three main objectives:

  • To bring the pee hole out to the end of the penis
  • To make a penis straight if it has any curvature
  • To appear natural and have the urine flow in a normal manner

An expert pediatric surgeon like Dr. Saurabh Garge in Indore, does the procedure under anesthesia. Most people require only one procedure. When performed by experienced specialists this is a well established procedure with high success rates and running complications being infrequent, certainly no more than 1%.

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Recovery After Surgery

Following surgery, a temporary small tube (catheter) may be put in place to assist with urination until the region heals. A parent will be given directions regarding:

  • Wound care
  • Hygiene
  • Medication if needed
  • Regular follow-up visits to the doctor

The majority of kids get better fast and are able to do normal things within a few days.

Conclusion

Hypospadias is very alarming but with the current pediatric surgical techniques can be treated successfully. Getting a diagnosis early and getting the appropriate medical treatment can make all of the difference. Parents must consult a specialist as early as possible if they notice unusual urinary habits or some structural differences from the above in their baby boy.

Hypospadias is a male congenital disorder, which can cause a lot of worries on the concerned parent if not diagnosed timely & treated in regards to pediatric surgeon. As an expert pediatric Urologist Indore Dr. Saurabh Garge, best doctor for hypospadias treatment in Indore, treats hypospadias with his expertise and offers advanced surgical treatment for Hypospadias to let your child grow healthy & confident!