Dr Gautam Banga on Hypospadias Surgery - Best Reconstructive Urologist in Delhi скачать в хорошем качестве

Dr Gautam Banga on Hypospadias Surgery - Best Reconstructive Urologist in Delhi

HYPOSPADIAS SURGERY BEST & AFFORDABLE Hypospadias Surgery is done on those who has it as a birth defect in baby boy in which the penis neither works well nor looks normal. It is the defect of the urethra in the male where the urinary opening is not at the usual location on the head of the penis. It is the second most common birth abnormality in boys, affecting approximately 1 of every 250 new born boys. The urethra normally travels in the male through the full length of the penis so that the stream of urine comes from the urethral opening at the tip of the penis. However, in hypospadias the urethra does not go all the way through the penis but, instead, opens on the underside of the shaft of the penis or below the penis hence the urine comes from an opening that is on the underside of the penis or below the penis. Causes: The exact reason of this defect is unknown. Sometimes hypospadias is genetic. SYMPTOMS OF HYPOSPADIAS : Opening of the urethra at a location other than the tip of the penis Abnormal spraying during urination Downward curve of the penis (chordee) Hooded appearance of the penis as only the top half of the penis is covered by foreskin NEED FOR THE HYPOSPADIAS SURGERY Parents usually ask the Urologist that their child urinates finely and has bowel movements just fine. So why are we having the surgery done if it doesn’t hurt him and he urinates just fine? Simple answer to these parents is Surgery is essential because Hypospadias can cause problems as he gets older. Problems are listed below: 1. Irregular urine stream .He would have to pee sitting down his whole life. 2. His penis would look different than other boys. 3. It could potentially create fertility issues. The opening of the penis is not close to the cervix as a result of which the sperm is not in the right place to cause pregnancy. 4. If the penis has chordee (downward curvature of the penis) it becomes very painful, difficult or even impossible to have intercourse as an adult. I would like parents who have a son born with hypospadias to be reassured that the anatomy can be reconstructed, the surgery is safe and well tolerated, and a good outcome with a normal or near normal, penis appearance and function can be achieved. As a Urologist, I owe it to our team for excellent results and patient happiness. For parents It is not easy to get their young child in Operation theatre. I really wish to express my gratitude to the parents and families who give their little ones in our hands trusting us to do the right thing for their child. Post- surgical complications Dressing issues: Dressing loosening up may occur in some babies. If it happens during first 2-3 days, then a new dressing is placed. After that, the dressing is just removed. Infection may happen and is the most common cause of the failure of surgery. To prevent this, broad spectrum antibiotic syrup is usually prescribed for 7-10 days. It is vital to prevent stool smearing up the dressing in immediate post-operative period. Fistula: Fistula is a small area of breakdown in the operated area, leading to sideways leakage of urine. Fistulas may heal in due course of time. Stenosis/ Stricture: During healing period, the new urinary tube may become tight. Mostly this happens at the tip of penis and can be easily managed by daily calibration at home with a small feeding tube. These complications are typically 5% if the surgery is performed by an experienced Urologist. ADULT HYPOSPADIAS/RE-DO HYPOSPADIAS SURGERY Most cases of adult hypospadias are those who live with hypospadias all their life. They know they are different, but they suffer with it because of their misbelief that there was nothing to be done about it when they were infants. But as they grow old, it causes a lot of anxiety growing up, and into adulthood. It has nothing to do with fathering a child although usually it is near to difficult. HYPOSPADIAS SURGERY IN ADULTS- DIFFERENCES FROM SURGERY IN CHILDREN: Longer healing time than children: comparable to hypospadias repair in children, the healing of penis in adults takes longer time. Though one can start passing urine normally in 2-3 weeks, it may take upto 2-3 months for the penis skin to heal fully. Longer time for indwelling urine catheter: Catheter is kept inside for 10-14 days for distal hypospadias repair in adults and 14-21 days for severe hypospadias repair in adults which is quite more with respect to children where most of the catheters are removed in 5-10 days. To know more please contact : Dr. Gautam Banga MBBS,MS,M.Ch (Urology) Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131 Email:- [email protected]