Quang Ninh A 5-year-old boy has a congenital defect called a low urethral opening, which causes difficulty in urination and requires him to sit down to urinate like a girl.
When the baby was born, the doctor advised to monitor and perform surgery when he was over two years old. On May 15, Dr. Pham Viet Hung, Head of the Department of Surgery, Quang Ninh General Hospital, said that the baby's age of 5 is the right time to intervene. At this time, the baby's urethral opening is located below the coronal sulcus, the penis is quite curved, and surgery to create a urethral opening is needed.
"If left later, when children reach school age, they will know they are different and be teased by their friends, which will affect their psychology and increase the risk of complications later on," said Dr. Hung.
Surgeons straightened the penis, sutured the urethra and brought the urethral opening back to its correct position, successfully covering it with a foreskin flap. However, hypospadias surgery is a difficult plastic surgery, and after surgery, the patient has a high risk of fistula, urethral stricture, and urethral diverticulum.
Postoperatively, the patient was stable, the surgical wound was dry, and urine through the catheter was clear. After two weeks of treatment, the baby could stand to urinate like a normal male.
Hypospadias is a congenital malformation of the male genital system, located lower than the normal position at the tip of the foreskin with penile deformity. This is one of the common genital malformations in males, with a rate of 1/300 boys.
This disease needs to be detected early and treated at the right time. The appropriate age for intervention is 2-6 years old. Surgery is the optimal treatment method. At this time, the tissues in the penis are soft, elastic, and less fibrous, so the process of scarring and wound healing is quick, and the child's psychology is not affected much. Penis reconstruction does not affect the child's physical and mental health, avoiding the risk of infertility later.
Doctors recommend that newborns need a general examination, including the genitals. Urethral malformations can be easily detected. The disease is not life-threatening but affects daily life, making children feel self-conscious, afraid to communicate, and even causing infertility later on. In addition, malformations can be accompanied by diseases in the genital area such as inguinal hernia, cryptorchidism, cleft scrotum, low penis compared to scrotum, which need to be treated early.
Minh An
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