Abnormal External Urinary Opening/Hypospadias

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

ABNORMAL EXTERNAL URINARY OPENING

Surgical Problems In Children

Absent Testis In Scrotum

Bleeding From Rectum

Constipation In Children

Hypospadias

Mass In Abdomen

Umbilical Swellings

Surgical Problems In Children

Ankyloglossia - Tongue Tie

Bed Wetting

Difficulty In Passing Urine

Swelling In The Scrotum

Inguinal Swelling

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Diagnostic Aid

VACCINE REMINDER

"Get the Vaccine Schedule for your child."

Ask Queries

SPECIALIST ANSWERS

FIND DIAGNOSIS

Today's Poll

Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

Vote

Results

ABNORMAL EXTERNAL URINARY OPENING

Dr. Vivek M. Rege
Pediatric Surgeon & Pediatric Urologist Sir Hurkisondas Hospital.

This is not an uncommon abnormality found in boys. An abnormal opening is present from birth and must be noticed by the parents soon after. The external urinary opening or the meatus, which is normally at the tip of the penis, is found to be on the lower side of the penis. This deformity is called Hypospadias. The site varies being either just below the tip, midway on the penis or very near the scrotum etc.

Abnormal External Urinary Opening-image1

Abnormal External Urinary Opening-image2

The importance of this anomaly is that this can cause 2 problems - firstly, passing urine in the standing position results in a poor stream and the urine falls on the boy's feet or shoes. Thus, these boys have to squat and pass urine unlike their friends. Secondly, when the child gets an erection, the penis will be noticed to have a curvature facing downwards called chordee.

Abnormal External Urinary Opening-image3

This chordee will cause difficulty in penetration later in life during sexual intercourse - indirectly affecting fertility and conception. Surgery ideally must be done around 1½ years of age. The operation required for correction of this deformity may be performed in 2 stages. The first stage involves straightening of the penis, correction of chordee.

Abnormal External Urinary Opening-image4

Abnormal External Urinary Opening-image5

Abnormal External Urinary Opening-image6

The second operation is performed 6 months later to construct the new urinary passage or urethra so that the new urinary opening is at the tip of the penis. After these operations, the child has a tube in the bladder to continuously drain urine. The tube is kept for 7 days, after which it is removed and the child passes urine on his own. The child is then sent home. At the end of the correction, the child is able to pass urine from the tip of the penis in standing position and able to have a normal projectile stream of urine.

Pediatric Conferences

Ped Tools

Adverse Drug Reactions

Head circuferences Calculator

Mid parental height Calculator

Body surface area Calculator

BMR Calculator

Temperature Calculator

Pediatric oncall book store

Partner Sites

Infection in Children

Pedcall

Medical ADRIS

Vaccine Reminder

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids