Hypospadias Initial Treatment – Adult We initially determine if there is any disabling downward curvature (chordee) that requires correction, and perform a complete urethral evaluation to assess the presence or absence of stricture. Hypospadias in Adults While most hypospadias repairs are done in boys, occasionally an adult was not operated and then desires surgery because of urinary spraying or unhappiness with the appearance. Other adults wanting surgery have complications that were never fully corrected during childhood.
Conclusion: Delayed hypospadias repair in adults is associated with a high success rate of 95% with no difference between primary and secondary repair. Secondary repair however may require more. Hypospadias repair is an effective surgical treatment that can reverse the symptoms and effects of the condition. There are three primary objectives of a surgical hypospadias repair. First, the procedure aims to correct any downward curvature of the penis when erect if present, also known as chordee.
Hypospadias is a condition present at birth in which the opening (meatus) of the urethra lies somewhere along the underside of the penis instead of at the tip. Curvature of the penis (chordee) hypospadias and an abnormality of the scrotum (penoscrotal transposition) may also be present to varying degrees. The mental or "psychic" situation, which reaches into sexual life, partnership and profession. Only a few clinical departments concerned with the primary correction of hypospadias in infancy have controlled a group of patients up to adult bdsmxxx.xyz: K. Bandhauer.
Adult hypospadias repair by Dr Djinovic can put it right. No hypospadias treatment as a child increases risk of risk of severe stricture disease as an adult as well as the chronic and progressive Balinitis Xerotica Obliterans (BXO) which causes hardening and inflammation of the foreskin and glans. Hypospadias is treated with surgery. The type of procedures needed for reconstruction are dependent on the degree of the hypospadias. Most of the mild forms can be corrected using a single procedure in the outpatient setting, however severe forms of hypospadias may require two or more procedures for correction and may need hospitalization.
This adult patient presented with scarring of his glans as well as recurrent fistulas after a distal hypospadias repair from childhood by another surgeon. Our office corrected his distal hypospadias repair with glans contouring and hyperbaric oxygen treatments to promote skin healing.