Hypospadias is a congenital disability in which the entrance of the urethra (the tube that transports urine and sperm out of the body) lies on the underside rather than the tip of the penis. It can impair urine, sexual function, and appearance. It can be small or big, based on how far the opening is from the tip; hypospadias repair adults are a procedure that can cure these issues and improve the quality of life for those with this condition.
The Various Types of Hypospadias
There are various types of hypospadias based on where the opening is:
Subcoronal: The aperture is close to the penis’s head.
Midshaft: The aperture runs the length of the penis shaft; the opening where the penis and scrotum meet is known as the penoscrotal.
Most people with hypospadias receive surgery as babies or children, although some adults may choose to have it for a variety of reasons, including:
- Not having had surgery before for personal, cultural, or medical reasons.
- Previous hypospadias surgical complications or disappointing results (urethral stricture, fistula, or curvature).
- Being dissatisfied with how their penis appears or functions due to hypospadias.
Factors Influencing Hypospadias Repair
Adult hypospadias healing is challenging and complex since it is dependent on factors such as:
- The adult penis anatomy and physiology.
- The quantity and quality of accessible tissue and skin for reconstruction.
- Hypospadias’ psychological and emotional impact on self-esteem, sexual identity, and sexual performance.
Preparing for Hypospadias Repair
Before doing hypospadias repair for adults, the surgeon will:
- Examine the penis and genital area and review the medical history.
- Determine the severity, kind, and additional conditions associated with hypospadias (chordee, penoscrotal transposition, or undescended testicles).
- Discuss what to expect, what to aim for, and what the dangers and advantages of surgery are.
- Recommend the most appropriate strategy and approach, which may vary depending on anatomy, preferences, and tissue availability.
Prepare for surgery: The surgeon will instruct on how to prepare for surgery, such as:
- Stop taking medications or supplements that may cause excessive bleeding or interfere with anesthesia (for example, aspirin, ibuprofen, or vitamin E).
- Avoid smoking, drinking, and narcotics for at least two weeks before surgery, as these can interfere with healing and recovery.
What Happens During and Following Hypospadias Repair?
Depending on the complexity of the repair and the technique employed, the procedure could last one to four hours. The surgeon will do the following:
- Cut the penis’s underside to expose the urethra and surrounding tissue.
- Cut and restructure the tissue and skin to create a new urethra and urethral hole at the penis’s tip.
- Sew up the wound and cover it with a bandage or dressing.
- Insert a catheter (a tiny tube) into the new urethra to drain pee and prevent blockage or constriction.
- To avoid scarring or contraction, place a stent (a small device) in the new urethra.
Adult hypospadias repair is a surgical treatment used to modify the location of the urethral entrance, straighten the penis if it is curved, and improve the appearance of the penis; hypospadias repair in adults can be challenging and complex due to issues such as adult penis morphology and physiology; tissue availability and quality; the psychological and emotional impact of hypospadias on self-esteem; sexual identity; and sexual performance.