Our Summary

This research paper looks at the issues related to hypospadias in adults. Hypospadias is a birth defect in males where the opening of the urethra is on the underside of the penis, instead of at the tip. This condition is usually corrected with surgery during childhood, but sometimes complications can arise later in life. These complications can make it difficult for doctors to treat because the issues are often due to a combination of the original problem and the effects of the earlier surgeries. This paper reviews recent studies on the problems that can occur, including issues with the urethra, erectile function, fertility, and psychological and sexual health. It also discusses strategies for fixing problems with the urethra. The authors conclude that we need more long-term studies to understand how to better help adults who have had hypospadias repair surgeries as children.

FAQs

  1. What is hypospadias and when is it typically corrected?
  2. What complications can arise in adulthood from hypospadias repair surgeries performed in childhood?
  3. Why is hypospadias in adults difficult for doctors to treat?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hypospadias repair is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include keeping the surgical site clean and dry, avoiding strenuous activities that could put strain on the area, and attending follow-up appointments with the doctor to monitor progress and address any concerns. It is also important to communicate openly with your healthcare provider about any symptoms or issues you may be experiencing so they can provide appropriate treatment and support.

Suitable For

Patients who are typically recommended hypospadias repair surgery are infants and children who are diagnosed with the condition. In some cases, adults who have not had the issue corrected in childhood may also be recommended for surgery to correct the condition. These adults may experience complications such as urinary problems, sexual dysfunction, and psychological issues related to their condition. It is important for patients with hypospadias to be evaluated by a urologist or pediatric surgeon to determine the best course of treatment for their specific case.

Timeline

Before hypospadias repair:

  • As a baby, the patient is diagnosed with hypospadias, a birth defect where the opening of the urethra is on the underside of the penis.
  • The patient undergoes surgery to correct the hypospadias during childhood, typically between the ages of 6 months to 1 year.
  • After the initial surgery, the patient may undergo additional surgeries to address any complications or to improve the cosmetic appearance of the penis.

After hypospadias repair:

  • In the months following surgery, the patient may need to wear a urinary catheter to help with urination.
  • The patient will have regular follow-up appointments with their healthcare provider to monitor their progress and address any issues that may arise.
  • As the patient grows older, they may experience complications related to the hypospadias repair surgery, such as urethral strictures, erectile dysfunction, fertility issues, and psychological or sexual health concerns.
  • Treatment options for these complications may include further surgical interventions, medications, or counseling.
  • More research is needed to better understand the long-term effects of hypospadias repair surgeries on adult patients and to develop more effective strategies for managing their care.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hypospadias repair surgery?
  2. What is the success rate of hypospadias repair surgery in terms of achieving normal urinary and sexual function?
  3. How long is the recovery period after hypospadias repair surgery and what can I expect during this time?
  4. Will I need additional surgeries or treatments in the future to address any potential issues that may arise?
  5. Are there any lifestyle changes or restrictions I need to follow post-surgery to ensure optimal healing and outcomes?
  6. How will hypospadias repair surgery impact my fertility and ability to have children in the future?
  7. Are there any long-term implications or risks associated with hypospadias repair surgery that I should be aware of?
  8. Will I need to see a specialist or undergo additional testing or monitoring following hypospadias repair surgery?
  9. How can I best manage any pain or discomfort following hypospadias repair surgery?
  10. Are there any support groups or resources available for individuals who have undergone hypospadias repair surgery?

Reference

Authors: Gaines T, Simhan J. Journal: Curr Urol Rep. 2024 Apr;25(4):63-70. doi: 10.1007/s11934-024-01196-7. Epub 2024 Feb 6. PMID: 38319558