HealthDiseases and Conditions

Hypospadias - what is it? Causes, symptoms, treatment

Hypopathy is considered one of the most common abnormalities of the urethra, which is observed in boys, less often in girls. According to the latest data, out of 125 children this disorder occurs in two to three male representatives. It's all hypospadias. What is it, what symptoms are manifested, what is it related to and how is it treated?

What is hypospadias?

Hypospadias are characterized by an unnatural displacement of the urinary tract on unsuitable parts of the body, for example, on the perineum, scrotum or lower surface of the penis.

In the presence of this defect there is a complete violation of the urination, there is irritation on the skin, discomfort and deformation of the sexual organ.

Hypospadias - what is it? Development of vice in girls

Gipozpadiya is not only in boys, but also in girls. But this is extremely rare. In this case, there is a visible deformation of the opening of the urethra. Most often, it opens directly into the vagina. In this case, the virgin film itself, or the hymen, has also a characteristic splitting.

What are the signs of rejection?

Hypospadias in children provide for a number of characteristic features. In particular, one of them is the presence of a hole in an unconventional place for it. Among other symptoms, there are frequent urge to urinate and the difficulties associated with it.

In adults, the stronger sex can come full sexual apathy to his sexual partner and a pronounced deformation of the penis.

Unpleasant consequences of hypospadias

In the absence of any help from the specialists of hypospadias (the photo of this deviation can be seen below) leads to very unattractive consequences. In most cases, one or two dropsy appear in the area of the testicles, called hydrocele in a medical environment. They are a small sac, formed as a result of excessive accumulation of fluid in both shells of the testicles.

In turn, this phenomenon leads to the emergence of inguinal hernia and excessive accumulation of lymph.

In addition, dysplasia of the foreskin and development of chronic diseases can be observed. However, their manifestations directly depend on the variety of the revealed deviation. This is what causes hypospadias. We will discuss its forms below.

In women and girls, the effects of hypospadias can be infections such as cystitis, urethritis, vulvovaginitis, less often in these patients there are pronounced signs of pseudohermaphroditism and hermaphroditism.

What varieties of hypospadias are there?

Distinguish the following forms of congenital abnormalities:

  • Head;
  • Coronal;
  • Stem cells;
  • Scrotal;
  • Perineal;
  • Chordates.

What are coronary and coronary anomalies?

Headed hypospadias are considered the easiest and most common form of abnormality. In such patients, as a rule, the narrowed aperture of the urethra is slightly displaced from the center of the head of the male genital organ to the coronary groove.

With such anomalies, men may experience unpleasant sensations due to pressure on the narrow canal of the urinary stream. The process of urination in them is difficult and has the appearance of a thin trickle. At this stage, the curvature of the male sexual organ is practically not observed.

Head hippopathy, as a rule, is found in 65-80% of men and boys.

Venous or parietal deviations are characterized by the displacement of the orifice closer to the groove. In the process of urination, patients notice a redirection of the jet at an angle to the penis.

In patients with this form of anomaly, the foreskin is strongly pronounced, which acquires a few new folds and forms a kind of pocket.

Venous hypospadias usually lead to a curvature of the genital organ, which subsequently acquires a ventral direction.

What are stem and scrotal forms of abnormalities?

For the trunk form of the anomaly, the location of the urethra on the trunk of the genital organ is characteristic. In such patients, severe deformation of the penis occurs over time, and the process of urination causes huge problems. The point is that during the process the jet is directed downwards. Therefore, with every urge to go to the toilet people with a similar diagnosis have to literally draw their manhood to the abdomen.

The scrotal hypospadias (the photo of this disease can be found in our article) provides an inborn shift of the canal to either the scrotum itself or to the line of its delineation with the trunk of the organ. Patients with this form of anomaly subsequently acquire severe deformity of the penis and can defecate solely by squatting.

What are the crotch and chordal forms of anomalies?

The perineal form of the deviation assumes a channel displacement directly into the crotch area, the presence of a strong deformity of the genital organ, splitting of the scrotum and difficulty urinating (again, the process is carried out while sitting).

The chord form differs from all previous ones in that it has an insignificant deviation from the norm. Thus, the opening of the urethra is located at the very top of the genital organ. However, the masculine dignity is deformed, which is due to the presence of cutaneous dysplasia.

Now you are familiar with such a concept as hypospadias. What it is and what kinds of anomaly this is, we described above. However, you should know about the possible reasons for this deviation.

What are the causes of hypospadias?

Relatively, there are few known causes of hypospadias. However, the following factors may lead to the occurrence of the above-mentioned anomaly:

  • Improper development of the fetus on the terms of 7-15 weeks (during this period, the genital organs of the future baby are formed);
  • Genetic or chromosomal abnormalities in the maternity;
  • Complications caused by viral diseases of a pregnant woman (rubella, influenza);
  • Inappropriate use of hormonal preparations by the mother;
  • Intrauterine infections;
  • Frequent stressful situations;
  • Lack of food;
  • Alcohol abuse of the mother in childbirth and much more.

All this list of negative factors, and sometimes the totality of several of them, lead to such undesirable deviation as hypospadias (what is it, described in this article).

How is the deviation diagnosed?

The patient's deviations can be detected by conducting routine diagnostics. It is thanks to her that an experienced doctor easily identifies a defect on the first day of a baby's life. The very same diagnosis and method of recognition of the disease include the following actions:

  • A thorough visual examination of the sexual organ of the child or adult;
  • Carrying out of genetic research (allows to reveal sexual chromatin) ;
  • Execution of ultrasound examination of urinary tract and organs;
  • Urography (allows to study the structure and functions of the urinary system).

Treatment options for hypospadias

If suspected of hypospadias, it is recommended that you consult a specialist such as a urologist and a surgeon. However, it is worthwhile to understand that standard treatment is indispensable here. Eliminates such a visual anomaly as hypospadias, surgery. In this case, it is advisable to resort to surgical intervention at a suitable age for this. For example, children are best able to operate between six months and until they are one and a half years old. It is at this time that all physical procedures (with subsequent rehabilitation) are most effective and easily tolerated by the child.

Some doctors believe that it is best to operate a baby up to a year-old age, since small patients do not yet fully know the situation and quickly forget about the transferred illness.

If hypospadias were not eliminated in childhood, it can be eliminated at any age.

When is it necessary to resort to surgery?

The presence of signs of an ailment does not always indicate that the patient needs surgical intervention. According to experts, this should be done only in case of severe deformity of the genital organs and in the presence of a narrowed hole in the urethra.

Prevention of hypospadias

To prevent an anomaly from occurring with your child, preventive measures should be taken to prevent it. For this purpose, it is recommended that the future mum follow the following expert advice:

  • Completely abandon bad habits;
  • To exclude self-treatment and the use of unreasonable medicines;
  • Try to avoid stressful situations;
  • In time to become registered with a gynecologist and regularly visit him;
  • In due time consult with the urologist in case of suspicion of hypospadias in the child (at the age of up to six months).

In a word, hypospadias are not a verdict. This problem can be quickly resolved. The main thing is to turn to specialists in time.

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