Hypospadias & Chordee Penile Torsion and undescended testicles are inborn abnormalities:
Life is not a bed of roses. Difficulties, trials, and hardships are part of life. We encounter specific injuries and diseases in public life and physical health and experience different inborn abnormalities. But the best part is that everything has a solution so is the case with medical problems. When a baby is born with an inborn disability, his parents may feel devastated. However, doctors can fix inborn disabilities with various medical treatments like surgeries, transplants and medications. Thus, Roy T. Bennett rightly says: “Difficulties and adversities viciously force all their might on us and cause us to fall apart, but they are necessary elements of individual growth and reveal our true potential.
We have got to endure and overcome them and move forward. Never lose hope.”
Do you know researchers estimate that about 1 in every 200 babies is born with Hypospadias, and penile torsion is up to about 1 in 80 newborn males? These are inborn disabilities, and surgeons repair them with surgeries. These penile curvature abnormalities also exist in Pakistan and are treated successfully by the best paediatric surgeon in Pakistan. In this blog, you will read about the type of penile curvature abnormalities, their signs, symptoms and cure.
What are inborn abnormalities?
The inborn abnormalities are also known as inborn disabilities, inborn disorders, or inborn malformations. The conditions develop prenatally and may be identified before birth, after birth, or later in life. Approximately 6% of babies worldwide are born with inborn abnormalities. Hence, doctors can treat inborn disabilities with surgical and non-surgical operations. These defects also cause abnormal penile curvature in newborn boys.
What is abnormal penile curvature in paeds?
Penile curvature is an abnormality of the male genital organ observed during erection. It occurs when the baby is in the embryo and is standard in 31% of premature babies. Thus, in many cases, the penis can curve slightly to the left or right when it is erect, and a curved penis may cause pain. Moreover, another abnormality that occurs in the newborn is undescended testicles. Undescended testicle treatment in Pakistan is possible through Surgery by the best pediatric surgeon in Lahore. Thus, Undescended testicles are treatable at ALSA Pakistan by the best pediatric surgeon Dr Muhammad Mohsin. Hence, pediatric Surgery for babies is necessary to treat penile curvature abnormality.
Types of abnormal penile curvatures:
In newborn male boys, abnormal penile curvature is seen at the time of Circumcision or in general check after birth by medical practitioners. According to researchers, the common types are:
3: Penile Torsion
4: Undescended testicles
1: What is Hypospadias?
Hypospadias is a condition in which the opening from where the urine passes is not at the tip of the penis. There is no specific cause for Hypospadias, but both environmental and genetic conditions contribute to the development. Nevertheless, there are some common findings in Hypospadias.
- Meatus is below where the standard opening is present.
- The urine stream may deflect.
- The underside skin of the penis is incomplete
- Bend in the penis.
- The twisted appearance of the penis.
Hypospadias is surgically corrected at the age of 6 to 12 months. This age is ideal because the risk of general anesthesia is low, and there is no psychological stress on the baby. The best hypospadias surgeon in Pakistan performs this Surgery to straighten the penis, moving the urethral opening to the tip, improving the appearance of the penis, releasing the bend if present and directing the urine stream in the usual way. The number of surgeries depends upon the severity of Hypospadias, and time may range from 1 to 5 hours. Hence, this is the most effective method to repair the inborn abnormalities of penile curvature in newborn baby boys. Moreover, hypospadias surgery cost in Pakistan is low compared to other countries in the world; therefore, if you observe any abnormality in the appearance of the penis of your baby boy, contact the best pediatric surgeon in Pakistan.
2: What is Chordee?
Chordee is when the penis of a newborn baby boy bends downward. It is noticeable during erection and occurs in children with Hypospadias. The real cause is unknown, but research says that during development in the womb. Or abnormal growth of scar tissue around the urinary tube. Sometimes with chordee, Hypospadias may also occur.
Moreover, chordee without Hypospadias may go undetected for many years and only be noticeable during erections. Therefore, Surgery is the only fixable treatment for chordee. Thus, the ideal time for chordee surgery in Pakistan is around 2 years of age because the operation is performed under general anaesthesia and lasts between 1 – 2 hours, depending on the severity of the chordee.
The main objective of chordee surgery is to:
- Straighten the penis by removing the scar tissue
- Reducing skin tethering
Furthermore, with all operations lies the risk of bleeding and infection. Therefore, the child takes antibiotics to help prevent infections. Moreover, a urinary tube may be placed during the initial recovery to help the child pass urine. Thus, Surgery is the only suitable treatment to repair chordee effectively.
3: What is Penile Torsion?
Penile torsion is a type of inborn abnormality. It can affect any male infant from mild to severe, as seen in an uncircumcised penis. Hence, Circumcision should only be performed after being seen by a pediatric urologist. In this condition, the infant’s penis appears rotated or twisted. Penile torsion can occur with Hypospadias and chordee. Hence, if the penis of your child seems twisted, then it needs Surgery. Thus, penile torsion surgery in a baby is effective if performed correctly.
4: What is an Undescended Testicle?
Testicles start to grow when the baby is in his mother’s womb. Early the testicles are in his belly, but before his birth, his testicles move down into the sac that hangs below the penis. Hence, when one testicle does not move into the sac, the baby has an undescended testicle. Moreover, both testicles are undescended in rare cases. Therefore, if the baby’s testicle hasn’t dropped by the time he is 6 months of age, doctors suggest proper treatment. This condition is inherited genetically. The state is painless, and the scrotum looks a little smoother. Hence, in routine checkups, it is diagnosed. Thus, the procedure for its treatment is laparoscopic Surgery. Laparoscopy requires a small incision below the belly button, which heals quickly. Undescended testicle treatment in Pakistan is affordable and accurate.
Thus, from the above discussion, it is concluded that Hypospadias, chordee, penile torsion and undescended testicles are abnormal penile curvature treated through Surgery. Moreover, if Surgery is performed between 6 to 24 months of age, its results are accurately and effectively. In Pakistan, all these surgeries are performed with 100% success rates by experienced pediatric surgeons.
Are undescended testicles treatable?
Yes, undescended testicles are treatable with Surgery. But the Surgery should be opted at an early age, after 6 months and before 2 years. The surgeon carefully manipulates the testicle into the scrotum and then stitches it into the right place. The procedure is performed with a laparoscope or by open Surgery. Thus, early surgical treatment lowers the risk of later complications.
How effective is penile torsion surgery?
Penile torsion surgery is very effective but a little challenging as well. The Surgery is performed under anesthesia, and the procedure successfully repairs the torsion. It has few complications and can easily be performed concurrently in the setting of other operative repairs. Hence, this approach provides excellent short-term results.
What are the risk factors in hypospadias surgery?
There aren’t any severe risk factors in hypospadias surgery. The only potential risk and complication is infection. The infection has its signs and symptoms, for instance: fever, increased swelling, redness, drainage and pus at the place of the incision. If parents find any of these conditions, contact your pediatric surgeon as soon as possible because the infection may become a severe problem.