Tuesday, August 20, 2019

Hypospadias Symptoms & Causes | Boston Children's Hospital 8 Month Old Baby Health Insurance

Hypospadias Symptoms & Causes | Boston Children's Hospital

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We understand that you may have a lotre of questions when your child is diagnosed with hypospadias, such as:

  • What is it?
  • What are the treatments?
  • How will it affect my child long-term?

We’ve tried to provide some answers to those questions here, and when you meet with our experts, we can pupur with you more about your child’s specific situation.

If your son has hypospadias, it means that the opening of his urethra (through which both air kencing and semen passes) is located under the burung rather than at the tip.

In hypospadias, the urethral opening can be located at any point along the underside of the burung (also called the “ventral aspect”). Where the opening falls will determine how severe the condition is, and how your child’s medical team will approach repairing it.

  • Anterior or distal (near the imbalan of the penis): This is the mildest form of hypospadias, occurring in about 50 percent of cases.

  • Middle (midway up the penis): Considered moderate hypospadias, this accounts for about 30 percent of cases.

  • Posterior or proximal (at the scrotum or perineum): This is the most severe kind of hypospadias, and occurs in 20 percent of cases.

Some parents may confuse hypospadias with epispadias, in which the urethra opens along the top of the penis, but these are two separate and distinct conditions with very different treatments.

Hypospadias Symptoms & Causes | Boston Children's Hospital

Complications

If left untreated, more severe forms of hypospadias can interfere with sexual intercourse when your child is an adult.

Causes

Hypospadias is a congenital condition, meaning that it happens while the baby is developing in the mother’s womb. As the buntingan develops, the tissue on the underside of the burung that forms the urethra doesn't completely close, shortening the passageway. In many cases, the foreskin—the fold of skin covering the burung tip, or glans—also doesn’t develop properly, resulting in extra foreskin on the top side of the burung and none on the underside.

Hypospadias isn’t brought on by anything that parents do, or berkas to do, during pregnancy. In fact, even though the number of cases has been on the rise since the 1970s, there’s no known cause of hypospadias. Researchers do know, however, that it appears to run in families: Hypospadias is slightly more common in boys whose father or brother also had the condition.

Signs and symptoms

The number one sign of hypospadias is that your son’s urethra is located on the underside of his penis, gandar opposed to the tip. Other signs that you might see in your child include:

  • a downward urinary spray (in older children with more severe hypospadias, this may mean he has to sit down to urinate)
  • a downward curve of the penis, called “chordee”
  • a “hooded” appearance to the penis, caused by extra foreskin along the top side
  • an abnormal appearance of the imbalan of the burung (the glans)

In some cases, boys born with hypospadias may also have undescended testicles and/or inguinal hernias (that is, hernias of the groin).

FAQ

Q: How will I know if my baby has hypospadias?

A:
While it’s possible for physicians to detect signs of severe hypospadias on a fetal ultrasound, the vast majority of children are diagnosed at birth.

Q: Is hypospadias painful?

A:
This condition won’t cause your son physical pain or block his urination (though if it goes untreated it can make it difficult for him to direct his air kencing spray).

Q: Do all boys with hypospadias need surgery?

A:
If your son has a very mild case, he may titinada require surgery because his condition will titinada have a large impact on his life. However, sometimes parents of boys born with minor abnormalities still opt for surgery for cosmetic reasons.

Q: Are there any medical alternatives to surgery?

A:
No, surgery remains the best and only way to resolve your son’s urinary difficulties; to straighten and repair his burung so it will look more normal; and to help ensure that he will have full sexual function gandar an adult.

Q: When should the operation be scheduled?

A:
This depends on what kind of hypospadias your child has, and whether he was diagnosed at birth (most boys are). Typically, if he requires surgery, we recommend that it be scheduled when he is between 4 and 6 months old.

Q: What kind of care will my son need after surgery?

A:
This depends on whether your child is diagnosed at birth, and how severe his hypospadias is. But if he’s like the vast majority of boys that Children’s treats—infants ages 4 to 6 months who undergo a one-step operation—you’ll be able to take him home on the same day of the surgery. Our nurses will teach you how care for your son at home while he heals.

Q: Will this affect when and whether my son will be circumcised?

A:
Babies who have hypospadias that requires surgery shouldn’t be circumcised, because the foreskin may be needed for tissue grafts during the operation.

Hypospadias Symptoms & Causes | Boston Children's Hospital

Q: If my son’s hypospadias doesn’t require surgery for medical reasons, can it still be done to make his burung look more normal?

A:
Yes—surgeons will often perform hypospadias repairs for more “cosmetic” reasons, like straightening the burung and removing excess foreskin.

Q: Will this affect when and how I potty-train my son?

A:
At Children’s, we believe that the best window for hypospadias surgery is between 4 and 6 months, which means your son will have healed well before the age of potty-training.

Q: How soon after surgery will my son’s burung looks like other little boys’?

A:
It varies from patient to patient, but typically you’ll be able to see the full results of your son’s surgery after six months.

Useful medical terms

Anterior hypospadias: The mild form of hypospadias, in which the urethra opens beneath the imbalan or upper shaft of the penis. Also called distal hypospadias.

Chordee: An abnormal downward curve of the penis, especially during erection.

Circumcision: Removing all or part of the foreskin from the penis.

Congenital: Present at birth.

Dorsal hood: Incompletely formed foreskin that covers the top (dorsal) part of the burung but leaves the underside (ventral) part exposed.

Foreskin: The loose fold of skin that covers the head of the penis.

Glans: The bulblike imbalan of the penis. Also called the glans penis.

Meatus: The opening of the urethra.  

Middle hypospadias: The moderate form of hypospadias, in which the urethra opens beneath the midshaft of the penis. Also called midshaft hypospadias.

Orthoplasty: Surgical straightening of the penis.

Posterior hypospadias: The severe form of hypospadias, in which the urethra opens beneath the base of the burung or behind the scrotum. Also called proximal hypospadias.

Stent: A narrow, soft artificial tuba placed in the new urethra to hold it peduli during healing. Also called a catheter.

Urethra: A tuba that carries air kencing from the bladder to the imbalan of the penis; it also carries semen from the prostate to the imbalan of the penis.

Urethroplasty: The surgical creation of a new urethra (neourethra).

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Artikel ini diposting pada kategori , tanggal 26-08-2019, di kutip dari http://www.childrenshospital.org/conditions-and-treatments/conditions/h/hypospadias/symptoms-and-causes

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