Aug 24, 2011
Luca was diagnosed with hypospadias a few hours after he was born. It's only a mild form (first degree), nothing too worrying, but he will need surgery when he's around 1 year old. I rather not think about it yet!
For those of you who don't know what hypospadias is:
Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urinary meatus (the opening, or male external urethral orifice). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans.
The urethral meatus opens on the underside of the glans penis in about 50–75% of cases; these are categorized as first degree hypospadias. Second degree (when the urethra opens on the shaft), and third degree (when the urethra opens on the perineum) occur in up to 20 and 30% of cases respectively. The more severe degrees are more likely to be associated with chordee, in which the phallus is incompletely separated from the perineum or is still tethered downwards by connective tissue, or with undescended testes (cryptorchidism).
Luca has been under the weather for the past week; at first I thought it might be teeth coming through, but it seems less likely every day. His urine has started to smell a lot, which makes me think UTI. If this is the case, we might have to see a urologist sooner as planned, because there might be a narrowing in his urinary track. This would mean he needs surgery a lot sooner than I had anticipated and it worries me :( I wasn't prepared for this!
Does anyone have experience with this and if yes, is this a normal thing to happen to boys/men with hypospadias?