Hypospadias Clinics
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Hidden Complications of Hypospadias Surgery: Urethral Stricture
An 8-year-old boy with a history of 3 prior operations for hypospadias elsewhere was brought to be with recurrent urinary tract infections. His Ultrasound (USG) examination revealed that he had swelling in both kidneys (hydronephrosis) with a thick urinary bladder which did not empty when he passed urine (over 50% of urine remained in the bladder)! The parents of the child said that the child’s urination was ok; however, when someone tried to place a urinary tube (catheter) for doing an MCUG test, the tube simply did not go through his neourethra (the urinary tube which was reconstructed at the time of previous hypospadias operations). He was then referred to me. We put him under sedation and on careful examination, realized that the neourethra was very narrow (called stricture or stenosis). This was responsible for all his symptoms, infections and problems. We discussed the situation with his parents and opened up his narrow urethral tube till we reached his natural, normal, original urinary tube at the base of his penis. We re-created his natural opening, and all his symptoms disappeared. His kidney swelling reduced, his bladder was emptying normally now and he had no further infections. After 6 months, he underwent a 2-stage reoperation using an Oral Mucosal graft (OMG/ mucosa from inside the oral cavity). He is doing well henceforth.
By Hypospadias Clinics2 years ago in Men
My talk at the Hypospadias International Society (HIS)meeting
I had the great privilege to take part in the HIS meeting held in Brazil a few months ago. I couldn’t go there physically due to some family commitments. So, I attended the virtual meeting for 3 days. In the meeting, I delivered a talk on 2-stage repair for complex failed hypospadias cases with the use of oral mucosal graft. I was among the very few doctors from India to attend this meeting and deliver a talk at this prestigious meeting.
By Hypospadias Clinics2 years ago in Earth
