Operations for hypospadia — a congenital defect of the genitourinary system in boys

Hypospadia is a common malformation of the genitourinary system in boys, second only to cryptorchidism in frequency. Hypospadias occurs in approximately 1 case per 300-400 newborn boys.

Causes of hypospadias may include pregnancy pathology with impaired androgenic stimulation of the development of the fetal penis, delayed development of the hypothalamic-pituitary system of the child, use of progestin-like drugs by a pregnant woman, as well as genetic factors.

Hypospadias is characterized by an underdeveloped foreskin, a split glans penis and urethral site, and an atypical urethral outlet (not on the glans penis, but anywhere along the shaft, in the scrotum, etc.).

Treatment of hypospadias is exclusively surgical, however, the surgical tactics are determined not by the location of the urethral opening (meatus), but by the anatomy of the adjacent tissues, since plastic surgery of the organ is envisaged.

The surgical correction option depends on the severity of the hypospadias form and consists of 2 steps:

1. correction of the curvature;

2. urethroplasty.

When is it better to carry out surgical intervention for the correction of hypospadia?

Surgical treatment is optimally carried out between the 1st and 3rd years of life in view of the following factors:

• Lack of conscious memory
• Less tissue bleeding
• High reparative capacity of tissues.

What rehabilitation and care for penis after surgery?

In the postoperative period, antibacterial therapy and adequate analgesia are carried out, a compression bandage with antiseptic creams/ointments, a special Coban bandage is used to prevent swelling and maintain the shape of the penis, which provides hemostatic effect and protects against fecal contamination. The child's parents are given recommendations on the location of urinary drains and hygienic care.

What are the possible complications after hypospadia surgery?

• Unsatisfactory aesthetic result;
• Fistulae;
• Urethrocele, urethral stenosis;
• Difference of sutures;
• Necrosis of penile tissues.

From 5 to 20% of patients need repeated corrections to eliminate negative results, and in the clinic " Oberig" we we perform interventions in patients after one or more unsuccessful attempts at surgical correction carried out in other medical institutions. Nevertheless, we advise you to carefully choose a medical institution and doctors with experience in successful surgical interventions, because it is better to get a good aesthetic and functional result the first time.

• Operative interventions regarding the elimination of malformations of the urogenital system in children and hypospadias, in particular, are carried out by an experienced urologist of the highest category with more than 35 years of experience, Gennady Ustenko, who is the author of the improvement of the technique of one-stage surgical treatment of hypospadias and has performed more than 4 thousand similar operations. including surgical interventions in difficult clinical situations (severe developmental defects of the urogenital system or the condition after unsuccessful preliminary surgical intervention).
• Complete anesthesia care, which includes not only control of vital signs during surgery, but also pain monitoring, prevention of intra- and post-anesthesia complications, proper monitoring of the child's condition during the stay in the intensive care unit in the early postoperative period.
• A high degree of infection safety, provided by infrastructural and architectural solutions, proper and impeccable compliance with the requirements of infection control by the clinic staff.
• Comfortable and safe stay of the patient in the wards with provision of medicines, aids and food.
• Strict observance of confidentiality and proper protection of personal information of each patient.
  To book a consultation, call +38 044 521 30 03 or book an appointment on the website: https://my.oberig.ua/ua/appointment/