Doctor insights on:
Create normal penis: We try to repair in single stage, unless very severe with urinary opening at the scrotum & 2 stage repair is performed. Penis is straightened & urinary opening is advanced to tip of glans if possible.Penile shaft skin is dissected down to base to straighten, graft maybe required for severe chordee, or dorsal plication.Urethra constructed from skin flaps or buccal graft. Stent or catheter for urine. ...Read moreSee 1 more doctor answer
Hypospadias is an abnormality where the urethral meatus (urinary opening) is located on underside of the penis. Location can be anywhere in mid-line from underside of glans (most common), along shaft, scrotum or perineum. Foreskin is always hooded & incomplete if meatus at or proximal to coronal sulcus. Chordee, ventral curvature, commonly present & always if ...Read more
Normal penis: Straight penis with erection. Urinary opening on the glans, as close to tip as possible. Satisfactory, single urinary stream which can be aimed and without spraying. No leak or post-void dribble. Satisfactory cosmetic result. Thus hopefully no complications such as persistent or de-novo penile curvature, urethral stricture or fistula. ...Read moreSee 1 more doctor answer
Normal function: This means ability to urinate with a single, straight, forceful stream whilst standing, that you are able to function normally with respect to sex. This requires urinary opening to be on glans ; penis to be straight and to achieve a normal appearing penis. Also means without fistula, meatal stenosis or urethral stricture. Pediatric urologists have the most experience in this regard. Good luck. ...Read more
Highly successful: Hypospadias is a condition that has various levels of severity-. Distal hypospadias (hole close to the tip) is easier than the more proximal cases (hole closer to scrotum) which can require two surgeries. Complications include fistulas and meatal stenosis, and rates are higher with more proximal cases. The penis will look normal, but it may take a few surgeries. Seek a pediatric urologist. ...Read moreSee 2 more doctor answers
Varies considerably: Depends upon severity of hypospadias ; whether repair can be corrected in a single or multiple stage procedure/s. Whether performed on outpatient or "admit after" basis, at a surgicenter or in a hospital operating room, from surgeon to surgeon, medical center ; geographic location ; on your medical insurance. For instance sc will be. ...Read more
Depends on severity: Hypospadias occurs with very variable severity. Some are so minor they can be corrected with a modified circumcision which should be inexpensive $3 - 500.00. Severe scrotal hypospadias with severe chordee may require staged surgery including grafts each costing $2000.00+. Most are inbetween with opening on shaft should be between $1 - 2000.00. Add or and anesthesia fees. Hope u have good insurance. ...Read more
Depends on severity: Basic principles used in repairing hypospadias in adults is same as for children. Consult a pediatric urologist or reconstructive urologist with experience. Process invokes correcting the curvature by straightening penis & advancing the opening at least as far as the glans and optimally to the tip. Surgery is performed under anesthesia & may involve skin flaps, or grafts of skin or buccal mucosa. ...Read more
Not very common: Some parents, in my opinion incorrectly, decide to postpone repair until boy is a young adult. These boys are usually full of anger and wish they had been repaired as babies. Some adults have come from countries without hypospadias surgeons. Parents of some children are advised against any surgery because defect thought to be too minor, may request repair as adults. 5% of my patients are adults. ...Read moreSee 1 more doctor answer
My son had hypospadias repair at age 1 and meatoplasty at 3.5, which he now needs again. Is this common? Are there possible complications for repeats?
Yes, can recur: Meatal stenosis is quite a common complication after hypospadias repair. Usually taken care by a meatoplasty. Repeat meatal stenosis has occurred which is why meatoplasty needs to be repeated. Ask your urologist whether or not a different technique will be used or whether a larger opening will be created than last time. Consider a second opinion because meatal stenosis can recur time & again. ...Read moreSee 1 more doctor answer
My son recently had hypospadias repair and now has a cyst close to the incision. Is this an emergency?
No, unless can't pee: Hopefully this is a small epidermal inclusion cyst which can easily be removed at your convenience, unless your son complains of pain or difficulty urinating. A urethral diverticulum, or outpouching can sometimes be mistaken for a cyst. This would better be corrected sooner rather than later. ...Read moreSee 1 more doctor answer