Hypospadias treatment in Iran

Hypospadias surgery is one of Iran Medtour services, which is provided by the best gender change specialists along with accommodation, a translator, a companion nurse, and a city tour at an affordable price in Tehran.

An inappropriate hole in the penis that is created in the lower part of the penis is called hypospadias, which is a congenital disorder. This disorder affects about 1% of male babies. In Iran, it is also known by other names, such as maternal circumcision, and divine circumcision.

What is hypospadias?

Hypospadias is when the opening of the urethra or penis is located at the lower line of the length of the penis instead of its tip, and the exact cause is unknown, but it is hereditary in some people.

Cause of hypospadias

The formation of the penis of baby boys takes place between 9 and 12 months of pregnancy, and during this time, the urethra and foreskin are formed. Hypospadias may occur due to hormonal disorders. The age and weight of the mother can also be one of the causes of this condition in male babies, and the more the mother’s age is over 35 years, the more likely it is to develop it.

Infertility treatments are another cause of hypospadias, and, couples who use artificial insemination methods or microinjection to prevent pregnancy, their sons are more likely to suffer from this condition. It should be noted that hypospadias has different intensities according to the location of the urine outlet. The closer the hole or outlet of the urethra is to the tip of the penis, the milder it is. The farther it is from the testicles, the more severe it is. In an acute state, this hole is under the testicles.

Hypospadias diagnosis

Hypospadias is usually diagnosed during a physical examination of the newborn. The doctor will identify the location of the urethral opening.

Types of hypospadias

According to the place where the urine exits on the male penis, this condition is divided into the following three categories:

1- Close to the tip of the penis (subcoronal):

This type of hypospadias is the mild type in which the outlet of the urethra is slightly lower than its normal location.

2- In the mid of the penis midshaft:

when the outlet of the urethra is located in a region between the tip of the penis and the scrotum, it is of medium type, sub-coronal, distal, or proximal type.

3- At the connective point of the penis and the scrotum

The most severe type of hypospadias is located at the connective point of the penis and the scrotum.

Treatment of hypospadias

This condition is usually treated by surgery, which must be performed by a skilled surgeon, because an improper treatment may cause new problems for the patient and his future.

Hypospadias surgery is performed according to the following 4 steps:

  1. Correction of penile deviation
  2. Creating a channel for urine to pass towards the tip of the penis.
  3. Placing the exit of the urethra at the tip of the penis
  4. Circumcision of the skin at the end of the penis

Other treatments

Urethroplasty is another method used for hypospadias, in which the urethra is remade to allow urine and semen to flow out. Meatoplasty, which is also called genioplasty is another method in which a specialist surgeon creates a new outlet in the urethra and reconstructs the tip of the penis according to this outlet. Scrotoplasty is another method for treating this disease to repair the scrotum.

The recovery after hypospadias surgery

After surgery, there will be some swelling and bruising. A catheter may be placed to drain urine while the urethra heals. Pain medication will be prescribed. Detailed post-operative care instructions will be provided by the surgeon.

Summary

In this article, we provided useful information about hypospadias disease, symptoms, types, and methods of its treatment. Also, you should know that usually after hypospadias surgery, urethral narrowing occurs, which can cause the male penis to fall, and symptoms, such as Urination return, difficulty in urinating, or having an infection may appear.

 If you want to get the best gender change specialists in Iran’s first-class hospitals to perform your surgery and at the same time be comfortable and stress-free during your treatment and stay in Iran at a reasonable cost, take a look at the Hypospadias package.

Important Considerations:

  • It’s crucial to have realistic expectations about treatment. While treatment can often improve the condition, it may not completely “cure” it.
  • Peyronie’s disease can have a significant psychological impact. It’s important to address any anxiety, depression, or relationship issues that may arise.
  • Discuss all treatment options, including the risks and benefits, with your doctor to make an informed decision.

Disclaimer

This information is for informational purposes only and does not constitute medical advice. Consult with us or a qualified healthcare professional for diagnosis and treatment of any medical condition.

Treatment Options

FAQ

Does hypospadias cause infertility?

Yes, because this complication prevents the normal flow of urine and semen, and this problem causes infertility in many cases.

What is the difference between hypospadias and epispadias?

In hypospadias, the urethra is not formed properly and urine exits along the lower part of the penis, but in epispadias, the urethra exit is located above it.

What is the best age for hypospadias surgery?

The age of 6 to 12 months is the best time for hypospadias surgery according to the American Pediatric Association.

Is hypospadias common?

Yes, hypospadias is one of the most common birth defects affecting male infants, occurring in about 1 in every 200-300 births.

Is hypospadias inherited?

While the exact cause is often unknown, genetics can play a role. Having a family history of hypospadias increases the risk. However, most cases occur without a clear family history.

Can hypospadias be detected before birth?

n some cases, hypospadias can be detected during prenatal ultrasounds. However, milder forms may not be visible until after birth.

When is the best time for hypospadias surgery?

The American Academy of Pediatrics recommends that hypospadias repair be performed between 6 and 18 months of age, ideally before the child starts to become aware of his body. This timing can help minimize psychological impact.

What is involved in hypospadias surgery?

The goal of hypospadias surgery is to reposition the urethral opening to the tip of the penis, straighten any curvature, and if needed, reconstruct the foreskin. The specific procedure will depend on the type and severity of the hypospadias.

How long does hypospadias surgery take?

The length of the surgery varies depending on the complexity of the repair, but it typically takes between one and three hours.

What are the potential complications of hypospadias surgery?

Complications can include:

  • Bleeding
  • Infection
  • Scarring
  • Urethral fistula (a small hole that develops in the urethra)
  • Urethral stricture (narrowing of the urethra)
  • Recurrence of the hypospadias
Will hypospadias surgery affect fertility?

Hypospadias repair generally does not affect fertility. However, it’s important to discuss any concerns about future fertility with the surgeon.

Will hypospadias surgery affect sexual function later in life?

In most cases, hypospadias repair does not negatively affect sexual function. The goal of the surgery is to create a normally functioning penis.

What are the long-term outcomes for children with hypospadias?

The long-term outcomes for most children with hypospadias who undergo surgical repair are excellent. They typically have normal urinary and sexual function.

Will my child need more surgeries in the future?

Most children only need one surgery to correct hypospadias. However, in some cases, additional procedures may be necessary to address complications or refine the initial repair.

Are there psychological effects of hypospadias?

While most children with repaired hypospadias thrive, it’s important to provide psychological support and address any concerns the child may have about their body image as they grow older.

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