Our Summary
This research paper is about a study conducted on boys who underwent a type of penis surgery known as hypospadias repair, combined with foreskin reconstruction. The aim of the study was to see if the size and shape of the penis and foreskin affected the likelihood of complications from the surgery.
The researchers looked at boys who had the operation between 2016 and 2019. They measured the boys’ penises and foreskins during the operation and noted any complications that occurred afterwards.
Out of 181 patients, 86 boys who had the combined operation were included in the study. The rest were excluded for various reasons like being circumcised at birth, parents requesting a circumcision, requiring a two-stage repair, being lost to follow-up or if the decision to perform circumcision was made during the operation due to aesthetic reasons.
The average age at surgery was 17 months. The average width of the glans (the rounded part forming the end of the penis) was 14.4 mm. The average circumference of the unstretched and stretched foreskin were 29.5 mm and 40.9 mm, respectively.
After about 8 months, 9 boys (10.4%) had complications. These included foreskin dehiscence (a splitting open or rupture), a foreskin fistula (an abnormal connection between the foreskin and another part of the body), a tight, non-retractile foreskin, and a urethrocutaneous fistula (an abnormal connection between the urethra and the skin).
The researchers found that the size and shape of the penis and foreskin did not seem to affect the likelihood of complications from the surgery. They concluded that foreskin reconstruction can be offered to all boys undergoing this type of operation. However, they also mentioned that further studies with more participants are needed to confirm these findings.
FAQs
- What was the aim of the study conducted on boys who underwent hypospadias repair with foreskin reconstruction?
- What kind of complications were noted after the hypospadias repair surgery?
- Did the size and shape of the penis and foreskin affect the likelihood of complications from the surgery according to the study?
Doctor’s Tip
One helpful tip a doctor might tell a patient about hypospadias repair is to carefully follow post-operative care instructions to reduce the risk of complications. This may include keeping the surgical site clean and dry, avoiding strenuous activities that could put pressure on the area, and taking any prescribed medications as directed. It’s also important to attend all follow-up appointments to monitor healing and address any concerns promptly.
Suitable For
In general, patients who are recommended for hypospadias repair typically include boys who have congenital hypospadias, where the opening of the urethra is located on the underside of the penis instead of at the tip. This condition can affect the appearance and function of the penis, making it difficult for the individual to urinate properly or have sexual intercourse.
Hypospadias repair is usually recommended for boys at a young age, typically between 6 months and 2 years old, to correct the abnormality and ensure proper development of the penis. The surgery may also be recommended for older children or adults who have not undergone repair earlier in life.
Additionally, patients who experience complications such as urinary problems, difficulty with sexual function, or psychological distress related to the appearance of their penis may also be recommended for hypospadias repair.
Overall, the decision to undergo hypospadias repair is based on the individual’s specific condition, age, and overall health, and should be discussed with a healthcare provider who specializes in urology or pediatric surgery.
Timeline
In summary, before hypospadias repair, a patient typically undergoes a preoperative evaluation and consultation with a urologist or pediatric surgeon. The surgery itself involves correcting the placement of the urethral opening on the penis, often combined with foreskin reconstruction.
After the surgery, patients are monitored for complications such as wound dehiscence, fistulas, or tight foreskin. Follow-up appointments are scheduled to assess healing and address any issues that may arise. Overall, the goal of hypospadias repair is to improve the function and appearance of the penis, allowing patients to lead a more normal and healthy life.
What to Ask Your Doctor
- What are the potential complications of hypospadias repair surgery?
- How long is the recovery process after hypospadias repair surgery?
- Will my child need additional surgeries or treatments in the future?
- What are the benefits of combining hypospadias repair with foreskin reconstruction?
- Are there any long-term effects or risks associated with hypospadias repair surgery?
- How can I best care for my child’s penis and foreskin after the surgery?
- What is the success rate of hypospadias repair surgery?
- Are there any lifestyle changes or restrictions my child will need to follow after the surgery?
- Will my child need to see a specialist or have regular follow-up appointments after the surgery?
- Are there any alternative treatment options for hypospadias that we should consider?
Reference
Authors: Mosa H, Olczak B, Paul A, Mishra P, Taghizadeh A, Garriboli M. Journal: J Pediatr Urol. 2023 Dec;19(6):700.e1-700.e10. doi: 10.1016/j.jpurol.2023.08.004. Epub 2023 Aug 16. PMID: 37775457