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Paediatrics: Hypospadias

Paediatrics: Hypospadias
Hypospadias affects 71/350 male births. Characterized by an abnormal position of the external urethral meatus and is classified according to the location of the meatus.

Hypospadias

 

Hypospadias affects 71/350 male births. Characterized by an abnormal position of the external urethral meatus and is classified according to the location of the meatus (penis down to the scrotum; see Fig. 23.21). Severe forms of hypospadias may be associated with chordee—a ventral curva-ture of the penis. The most common consequences of hypospadias are difficulty urinating while standing and a cosmetic appearance of the penis that differs from that of other boys. Sexual function is not affected unless chordee, which may cause painful erections, is present.

 

Hypospadias advice

 

 

Make sure you document the diagnosis in the notes.

 

Tell the parents not to circumcise the child.

 

Give the parents a letter stating this advice.

 

Refer the child to a paediatric surgeon.

 

Surgery

 

Surgical correction involves straightening of any chordee and reconstruc-tion of the urethra to the glans. This may involve tubularizing skin from the prepuce so circumcision is contraindicated. The correction can be completed in one or more operations during early childhood.

 

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Paediatrics: Paediatric Surgery : Paediatrics: Hypospadias |

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