$Unique_ID{BRK00574} $Pretitle{} $Title{What is "Hypospadias"} $Subject{newborn Hypospadias cause treatment Genitourinary penis congenital defect urethra} $Volume{J-15} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What is "Hypospadias" ------------------------------------------------------------------------------ QUESTION: We are most concerned about our newborn grandson and a condition called "Hypospadias". Our daughter is so distressed that she will not discuss this with us, and we hope you will help us by telling us something about the condition and if our grandson can ever be a normal person? ------------------------------------------------------------------------------ ANSWER: I can understand your distress as well as that of your daughter, but the news is not all that bad. Hypospadias is a congenital defect that occurs rather commonly in male babies, affecting about one in 300 live born male infants. The defect affects the urethra, the tube that leads from the bladder through the penis, and carries the urine out of the body. In cases of hypospadias the development of this tube is incomplete, and it does not extend the full length of the penis, ending in an opening which is located somewhere along the underside of the shaft of the penis. Usually there are no other abnormalities of the urinary system associated with this condition, which is easily discovered during the baby's first examination. Although at one time in the past, surgical correction was performed only on the most severe cases, new improvements both in pediatric surgical techniques as well as anesthesia permit surgeons to correct almost all cases of hypospadias. The operation is usually performed before the child is old enough to retain any memories of the experience, yet mature enough to safely undergo the procedure. Most surgery is therefore performed when the child is between 6 and 9 months of age. The children do not seem to experience a great deal of discomfort and with new techniques, a fully functioning penis is constructed that has a completely normal appearance. Complications of the surgery are rare and the surgery may be performed as either an outpatient or with but a single night's stay at the hospital. You and your family all need one another now for the moral and emotional support that will provide you with the patience necessary to await the best moment to schedule the operation, after which much of your personal anguish and anxiety can be put behind you. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.