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Hypospadias is a congenital condition in which the urethral opening is located in a different position than usual on the penis. Treatment may be surgical, depending on the characteristics of the hypospadias and its functional and aesthetic impact.
Hypospadias is an anomaly in the formation of the penis during gestation that manifests itself, fundamentally, in three ways:
Hypospadias are classified as follows :
In a significant percentage of cases, especially in more severe cases of hypospadias, it can be associated with other abnormalities , the most frequent being:
Regarding symptoms , the presence of hypospadias is suspected when a pressurized urine stream is directed downwards, ventral curvature is present during erection, and excess skin is present in the dorsal area.
The glans of the child is usually covered by the balanopreputial adhesions, so it is common that the real position of the urinary meatus cannot be accurately determined.
Hypospadias is considered to have multifactorial causes, meaning that genetic factors and multiple environmental factors are involved.
Evaluation by a pediatric urologist is important to identify mild cases, reassure parents, rule out other abnormalities if necessary, and schedule intervention at an appropriate age.
The diagnosis is made through a thorough examination in consultation , in which the following are assessed:
In severe hypospadias, a urological ultrasound may be necessary to rule out other associated pathologies.
Hypospadias can be treated with surgery and should be performed by a pediatric urologist specializing in the management of this condition.
Hypospadias treatment is usually done from the age of one year , but the optimal age for this intervention can be individualized according to the severity of the malformation and personal circumstances.
The goal of this treatment is to correct the curvature, bring the opening to the glans, and achieve a good cosmetic result. Different techniques can be used , depending on the characteristics of the condition and the patient. The final assessment, the selection of the best technique for each case, and the planning of one or two procedures are often completed on the day of the surgery.
The surgery usually lasts between one and two hours, depending on the technique used. During the immediate postoperative period, the patient has a urinary catheter to prevent complications and a dressing around the penis that will not be removed until the seventh postoperative day. After the catheter is removed, the patient regains normal continence , and stitches do not need to be removed, as they dissolve on their own within a few days.
After the procedure and removal of the catheter, the patient will need to attend follow-up appointments to assess the aesthetic result, the presence and characteristics of erections, and the urinary stream.
The most frequently described complication in the literature is the appearance of a urethral fistula, which is a small hole in the path of the operated area, through which urine leaks out.
To avoid this complication, all necessary measures are taken to ensure meticulous care of the tissues and protection of the sutures using vascularized flaps, thus reducing the possibility of this complication occurring.
Follow-up care for these patients continues after the procedure, although visits become less frequent, until the child's growth is complete. This allows the pediatric urologist to assess the long-term outcome and ensure that the patient's questions and concerns are addressed.
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We left very happy with the doctor-patient relationship
Our patients' trust reflects our commitment to providing excellent, personalized, and attentive urological care. Every experience motivates us to continue improving and offering the care and support each patient needs.
Excellent urological clinic due to the professionals who work there.
A highly professional clinic, with a very high scientific level and advanced technology. They helped me solve my urological problem.
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