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ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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HYPOSPADIAS IN CHILDREN
Continued...
WHY? This is caused by a defect in the formation of the urinary tube called the urethra. The incomplete formation of the urethra makes the urinary opening on the underside of the penis. The severity of the deformity depends on the length of the urethra formed. The lessor the length, the more proximal the opening.
WHY? This is caused by a defect in the formation of the urinary tube called the urethra. The incomplete formation of the urethra makes the urinary opening on the underside of the penis. The severity of the deformity depends on the length of the urethra formed. The lessor the length, the more proximal the opening.
WHAT HAPPENS? There are no regular symptoms or complains like pain, swelling, redness or straining to pass urine, and hence the anomaly can be easily overlooked early after birth. As the boy begins to grow, stand, walk, run, he also begins to pass urine standing up. At this time, an observant parent will notice that the child passes urine in a stream that is not directed away from the body, but downwards and on his own feet or clothes.
As this deformity causes no obvious discomfort, there is no need for early correction. The ideal age for operative correction is about 1½ years. By this time the tissues and the skin of the penis are more supple, mature, firm and can be properly sutured. Delay in timing of surgery can cause the boy to become genital conscious since he realizes something is wrong with his penis as compared to his elder brother or cousins. He needs to squat to pass urine and can become the target of fun by other boys of his age.
WHY SURGERY? This is very vital question in the minds of the parents of these children - specially when the child is asymptomatic. Firstly, associated with the abnormal urethral opening, there is also a bending of the shaft of the penis called chordee. When this boy becomes an adult, the chordee will persist and increase if uncorrected. This causes difficulty in penetration for sexual intercourse. Secondly, even after penetration, due to abnormal position of the opening, the ejaculate will not be deposited in the correct place in the vagina of the woman and conception can be difficult - leading to infertility. Lastly, for cosmetic reasons - this deformity needs to be corrected to allow this boy to pee standing and not squatting.
Upper thin skin used to make a long tube(arrow)
As this deformity causes no obvious discomfort, there is no need for early correction. The ideal age for operative correction is about 1½ years. By this time the tissues and the skin of the penis are more supple, mature, firm and can be properly sutured. Delay in timing of surgery can cause the boy to become genital conscious since he realizes something is wrong with his penis as compared to his elder brother or cousins. He needs to squat to pass urine and can become the target of fun by other boys of his age.
WHY SURGERY? This is very vital question in the minds of the parents of these children - specially when the child is asymptomatic. Firstly, associated with the abnormal urethral opening, there is also a bending of the shaft of the penis called chordee. When this boy becomes an adult, the chordee will persist and increase if uncorrected. This causes difficulty in penetration for sexual intercourse. Secondly, even after penetration, due to abnormal position of the opening, the ejaculate will not be deposited in the correct place in the vagina of the woman and conception can be difficult - leading to infertility. Lastly, for cosmetic reasons - this deformity needs to be corrected to allow this boy to pee standing and not squatting.
Upper thin skin used to make a long tube(arrow)
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