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Urology (Expert Forum)
hypospadius repair/issues in adults
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
hypospadius repair/issues in adults
by erics, Dec 12, 2004 12:00AM
I was born with hypospadius and it was reparied when I was a child. However, there is a leak/whole in the side in another spot. The opening was not placed in the original/correct opening at the tip... but slightly below on the shaft
In addition to the hole/leak where a small stream of urine will spray... there is diverticual (ballooning) when I urinate. It seems to have gotton worse over years... I am 35 now. I usually just pinch my penis/cover the hole to prevent the leaking and to try to keep it from ballooning too much
I function normally sexually, etc... and I've learned to live with it without focusing too much on it
Is it recommended to get surgery to fix the hole/ballooning? I imagine there is some risk... but is success rate good for adult? Or should I just leave it as is?
thanks
eric
In addition to the hole/leak where a small stream of urine will spray... there is diverticual (ballooning) when I urinate. It seems to have gotton worse over years... I am 35 now. I usually just pinch my penis/cover the hole to prevent the leaking and to try to keep it from ballooning too much
I function normally sexually, etc... and I've learned to live with it without focusing too much on it
Is it recommended to get surgery to fix the hole/ballooning? I imagine there is some risk... but is success rate good for adult? Or should I just leave it as is?
thanks
eric
Doctor's Answer
by Kevin Pho, MD, Dec 14, 2004 12:00AM
, Dec 14, 2004 12:00AM
There have been several newer techniques in hypospadia repair within the past 5 years. In most cases, the surgery is successful. Typically, complications are in the range of 3-12% ranging from urethrocutaneous fistulae to urethral stenosis.
I can't make the recommendation of surgery without examination - I would discuss this option with your urologist. If there continues to be no clear treatment, I would recommend another opinion at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I can't make the recommendation of surgery without examination - I would discuss this option with your urologist. If there continues to be no clear treatment, I would recommend another opinion at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
