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Urology (Expert Forum)
Hypospadia with chordee
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Hypospadia with chordee
by Stefan__0, Jun 16, 1999 12:00AM
Posted by Stefan on June 16, 1999 at 11:35:17
Hallo,
Im 28 years old and have chordee with hypospadia. I went to the surgeon with it and he did some tests.
Now he wants to do an operation, because my urethra is so thin that it can break open at any time. First he wants to make an scrotaire hypospadia and repair the chordee, then after six months he wants to make a new urethra and repair the hypospadia.
My question is? Are there any risks? Is it painfull? What is the developement of the operation?
thanks
Stefan
Posted by HFHS M.D.-AK on June 18, 1999 at 14:03:44
_
Dear Stefan,
As you know, hypospadias is a congenital anomaly of the penis resulting in incomplete development of the anterior urethra. It occurs in one of every 300 live male births. The cause is still unknown and is probably multifactorial. The optimal time for repair is between 6-18 months of age. This primarily for psychological reasons
It sounds like your urologist is on top of your situation. I think the proposed management and staged operation is appropriate and often necessary. But you should also know that there are always risks to any operation. There is always anesthesia risks, risks of infection, and with intricate penile operations, risks of blood supply. To answer your other question, yes, you will have some pain but this operation will most likely be performed as an out-patient procedure and you will be given oral analgesics. Usually this is enough to relieve the pain and if stronger medications are needed, they will be provided.
In regards to your case, it sounds like a complex procedure. If you meant to say that you have a penoscrotal hypospadias, these operations often are difficult and have complications. The problems are usually secondary to flap breakdown(diverticula), stricture, or formation of fistulas. Talk to your urologist about the complication rates before your finalize your decision to undergo surgery. I think it is important for you to know all the risks before consenting to this procedure.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Hypospadias
Member Comments
by diana8685, Oct 21, 2009 01:29AM
A related discussion, hypospadia was started.
