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M.M. 7 months old boy was referred with complaints of abnormal looking penis and abnormal site of urinary opening. On examination, he had a condition called Distal Penile Hypospadias.
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He was planned for a corrective surgery called – SINGLE STAGE URETHROPLASTY.
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| This is the appropriate age (6-9 months) for such surgeries as the final results are very good both cosmetically and functionally at such a young age. |
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The baby was taken up for surgery and he required only one day stay in the hospital. The dressing was removed on day5 and the catheter on day10.
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At 3 months follow-up he has a normal looking circumcised penis with a urethral opening at the top of the glans.
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Completed urethroplasty with Special
Silicon catheter for diaper drainage |
Tegaderm dressing being applied at the
completion of surgery |
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| Important points about hypospadias: |
- Hypospadias is one of the most common anomalies worldwide.
- The correct age for corrective surgery is between 6-9 months.
- Most of the hypospadias can be corrected with a single stage surgery, rarely if the penis is too curved (chordee) or the skin is short or there is an associated disorder of sex differentiation, a two or a three stage surgery may be required.
- The success rate of Single Stage Urethroplasty in correctly chosen cases is more than 95%.
- Most common post-op problems (5%) are infection and formation of a fistula requiring a second surgery.
- www.hypospadiasfoundation.com
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