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Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
What do you see – Presentation
The penis usually bends forward (chordee), the urinary opening is not in the tip, anywhere from base to one centimetre below the tip, the parents will bring the child for voiding urine very close to feet.
When I see such patients, I find..
The penis is short curved, small urinary opening not in the tip, may be associated with absent testis either unilaterally or bilaterally.
Treatment why...?...when..?
Treatment has to be done because meatus is not in the tip, the penis is curved, should be done before school going age.
Treatment options
Usually done in two stages depends on severity most pediatric urologist operate either around one year or between four to five years, is a major pediatric surgery which last for two hours.
Follow Up care
The patient has to stay in the hospital five to seven days with catheter in the urinary bladder. The stitches are dissolvable and need not require removal, there can be a variable degree of swelling and penis may look ugly for ten days, the child can take food next day of surgery, can go to school after fifteen days.
My Experience
I have done more than five hundred hypospadiac surgery with no major problems.
Dr. C. SankkaraBarathi
MBBS, MS (Gen), MCh (Paediatric Surgery)
Paediatric Surgeon
Paediatric Urologist
Quick Contact
- SRI SAINATH HOSPITAL AND RESEARCH INTITUTE, Old No.11, New No.9, McNichols Road, 4th Lane, Chetpet, Chennai – 600031 (Opp. to Chetpet Police Station)
- drcsbarathi@yahoo.co.in
- 044-28363234 / 28361535 / 48639988 / 42867758
- 9840113875
My Advice on Common Conditions
Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly.
Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
Phimosis
Narrowing of foreskin or non retractile foreskin. Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum.
Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants.
Habit Constipation
This is one of the common condition - a child with constipation may have bowel movements less frequently than normal, hard bowel movements, or large, difficult, painful bowel movements.
Hernia - Hydrocele
A small passage has developed or left open connecting the belly to baby's groin, the second common surgical condition next to phimosis.
Appendicitis
Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children.
Congenital pyloric stenosis
This occurs between 4th week of age to 6 week of age, can occur in new born also, exact cause not known.