Doctor insights on:
My Bf Was Having Hypospadias As A Child Can We Still Have Children
Yes: Hypospadias is a congenital defect where the opening of the urethra is at the bottom, rather than tip of head of penis. There is no association with infertility unless he had the misfortune of having an undescended testis (in 10% of boys with hypospadias)that is not functioning (doubtful if he is active and healthy). The biggest issue is the stream of urination & perhaps chordee-ventral curve. ...Read moreSee 1 more doctor answer
Checked and decide..: Be checked by an experienced surgeon, preferably by pediatric urologist if available, who will help you to decide if necessary to undergo surgical correction; if needed, how. That is how the care for hypospadias is done in the USA. More? Contact www.healthtap.com/dr-Lin with rqpwjc to log in - using audio goes faster and learns more than text chat does. ...Read more
My son will have his operation 6days from now. But he got cough and could. Isnt still possible to go on with his operation for hypospadias surgery?
Is there anything that can be prescribed for hypospadia to minimize morning erections while catheter still in? My doc suggested Sudafed & didn't help
Possibly: Go back to the doctor who did the surgery. It has been reported that ketoconazole (off label use of this anti-fungal drug) 400mg 3 times daily may decrease erections This was reported In The International Journal of impotence Research,2004, August, Volume 16,#4, pages 346-349,by these authors: Evans,Peterson,Ruiz and Costabile. Good luck. ...Read more
Opening underneath: Urethral opening is not at the end of the penis. Can be located anywhere underneath from under the glans, all way back to the anus. Not far back is most common. Commonly asociated with chordee (penis bent downward). Foreskin is "hooded", i.e. Missing on underside of penis. Incidence 1 in 2 - 300 males. Penis often smaller than normal. Very severe cases sometimes considered ambiguous genitalia. ...Read moreSee 1 more doctor answer
Birth anomaly: Urinary opening (meatus) located on underside of penis, anywhere from just under the head of penis (mildest)) all the way to rectum (most severe) and anywhere in-between. Most frequently associated with downward bend (chordee) plus a so called "hooded" foreskin present on top & laking underneath, scrotal hypospadias associated with a bifid scrotum. Often smaller than normal. More details on google ...Read more
Hypospadias repair: Pediatric urologists have most experience with this kind of surgery. Repair depends upon location of urinary opening & degree of chide (downward curvature). Distal hypospadias can be corrected with single operation. More extensive hypospadias ay require 2 stage repair with 4 - 6 months between stages. ...Read moreSee 2 more doctor answers
15%: The overall risk of hypospadias recurring in a child of a man with hypospadias is roughly 15%. Thus, as dr mesrioban notes it is a rare occurrence. Yet, as dr. Klauber pointed out, this is still 15-30 times the risk of the general population! i guess it depends on who is managing the "spin.". ...Read moreSee 2 more doctor answers
Hypospadius: The "severity" of hypospadius is largely related to the position of the urethral opening. Some require no repair, while the most severe forms may require multiple surgeries. In the proper urologic hands, the majority of these boys do very well and suffer no long term consequences once repaired. ...Read moreSee 1 more doctor answer
Penile birth defect: 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 meatus is very proximal. ...Read moreSee 1 more doctor answer
Usually 1 or 2 stage: Operation depending upon severity of hypospadias. 3rd or 4th operation might be required in case of complications. Would suggest second opinion from an experienced pediatric urologist if problem hasn't been fixed after 3 operations. Would not be criticising original surgeon, but an other opinion could be reassuring for you. ...Read more
You decide...: First, I would like to applaud your coping ability over those 54 years in holding and directing urine flow; sure, you become master to live through reality. Now, is it necessary to fix it? At 54, it is more optional than essential. To finalize decision, you have to balance between medical necessity & professional possibility. So, seek doc or contact www.HealthTap.com/dr-Lin with RQPWJC to login. ...Read more
I learned today that I have a slight case of distal hypospadias. What does this mean and what should I do?
?Treatment necessary: Many mild cases of hypospadias, especially those diagnosed later in life require no treatment, i.e. If urination and sex are both satisfactory, and male has already had children. If in doubt see a pediatric or reconstructive urologist. Yes, hypospadias in adults is usually managed by pediatric urologists. ...Read moreSee 1 more doctor answer
Straight penis with: Urinary opening at or close to tip of gnas. In fact, ideally penis should look normal after after operative swelling has settled down. Subect should be able to urinate with a full and forceful stream. Hopefully avoids having either a urethral stricure, fistula (urethral leak) or persistent penile curvature. ...Read moreSee 2 more doctor answers
Pediatric urologist: Sub-specialty has the most experience in correcting or advising about hypospadias. Urologist can advance urinary opening & correct significant curvature (chordee). However, requires no treatment if urinary opening is on head of penis which is straight or only minimally curved with erection. ...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
Surgical repair: There are many types of hypospadias repair. Pediatric urologists, who perform lots of these procedures, tend to have the most experience with these procedures. Even in adults. Hypospadias is a structural problem & thus requires structural repair unless the hypospadias is very mild & penis is fairly straight. ...Read moreSee 1 more doctor answer
Yes: When a baby is born with both hypospadias and one or two undescended testicles, there may be a chromosomal or hormone defect. With a severe hypospadias and two undescended testicles that cannot be palpated, the baby may be a girl with a severe hormone anomaly called congenital adrenal hyperplasia. At birth, these children must be evaluated by a urologist. ...Read moreSee 2 more doctor answers
We don't fix newborn: Hypospadias surgery is delayed 4 at least 6 months-of-age for anesthesia 2b maximally safe ; 4 penis to grow. Difficulty depends upon location of urinary opening, degree of chordee (curvature) ; size of penis. Choose pediatric urologist who does them all the time ; has good results. Experience makes all the difference. Call children's hospital ; ask urology resident whom s/he'd have fix their son. ...Read more
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