Hypospadias: Surgical Options and Specialist Recommendations - Urology

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Hypospadias is a congenital condition in which the urethra does not open at the tip of the penis but rather on the underside. This condition can vary in severity, and in your case, it appears to be classified as glanular hypospadias, which is the mildest form. Many individuals with hypospadias, especially those with mild forms, can lead normal lives without significant issues. However, the psychological impact and concerns about appearance can be valid reasons for seeking surgical correction.


Surgical Options
1. Timing of Surgery: Surgical correction is typically recommended during early childhood, often between 6 months and 18 months of age. However, if you are 30 years old and are experiencing psychological discomfort, it is still possible to undergo surgery. Adult patients can have successful outcomes, although the surgical approach may differ slightly compared to pediatric cases.

2. Surgical Techniques: The most common surgical procedure for hypospadias repair involves reconstructing the urethra to create a new opening at the tip of the penis. Techniques may vary based on the severity of the condition and the specific anatomy of the individual. The surgery generally aims to:
- Create a new urethral opening at the glans (tip of the penis).

- Straighten any curvature of the penis (if present).

- Improve the cosmetic appearance of the penis.

3. Postoperative Care: After surgery, you will need to follow specific postoperative care instructions, which may include avoiding strenuous activities, managing pain, and monitoring for any signs of infection. Follow-up appointments will be necessary to ensure proper healing and function.


Recommendations for Specialists
In terms of finding a qualified surgeon, it is essential to seek out a urologist or a pediatric urologist with experience in treating hypospadias, even in adult patients. In Taichung, you might consider the following steps:
1. Consultation with Urologists: Look for urologists who specialize in male genital conditions or reconstructive surgery. You can search for hospitals or clinics that have a urology department with a focus on congenital anomalies.

2. Referrals and Reviews: Ask for referrals from your primary care physician or seek recommendations from friends or family. Online reviews and patient testimonials can also provide insight into the experiences of others who have undergone similar procedures.

3. Hospital Affiliations: Consider hospitals that are known for their urology departments. Institutions affiliated with universities often have specialists who are up-to-date with the latest surgical techniques and research.


Conclusion
While your condition may not have significantly impacted your daily life, addressing the psychological aspects and seeking surgical correction is a valid choice. It is essential to consult with a qualified urologist who can evaluate your specific case and discuss the potential risks and benefits of surgery. Remember, the decision to proceed with surgery should be made after thorough consideration and discussion with your healthcare provider. Good luck, and I hope you find the support and care you need!