Hypospadias: Symptoms, Surgery, and Recovery at 28 - Urology

More Info

---

Hypospadias is a congenital condition in which the opening of the urethra is not located at the tip of the penis but instead is found along the underside, which can lead to various symptoms and complications. In your case, it seems you are experiencing symptoms that may be related to this condition, such as difficulty with urination (not fully emptying the bladder) and a perceived shortness of the penis when not erect. These symptoms can indeed be associated with hypospadias, particularly if the urethral opening is located at the coronal level, which is one of the more common types of this condition.

At 28 years old, it is still possible to undergo surgical correction for hypospadias. While most surgeries for this condition are performed in childhood, adults can also benefit from surgical intervention. The decision to proceed with surgery should be made in consultation with a urologist who specializes in this area. They will evaluate your specific case, including the location of the urethral opening, the degree of curvature (if any), and any associated complications, to determine the best course of action.

Regarding the success rates of surgery, they can vary based on several factors, including the complexity of the case and the surgical technique used. Generally, the success rates for hypospadias repair are quite high, often reported to be between 80% to 90% for achieving a functional and cosmetically acceptable result. However, as with any surgical procedure, there are risks involved, including the possibility of complications such as scarring, fistula formation, or the need for additional surgeries.

One concern you mentioned is the potential change in urination posture post-surgery. While many patients can continue to urinate while standing after successful repair, some may experience changes in urinary function. This is often dependent on the surgical technique used and the individual’s anatomy. It is essential to discuss these concerns with your surgeon, who can provide you with more personalized information based on their experience and your specific situation.

Post-operative recovery can vary, but it typically involves some discomfort and a healing period during which you may need to avoid strenuous activities. Pain management is usually part of the post-operative care, and your surgeon will provide guidelines on how to manage discomfort and care for the surgical site. The recovery time can range from a few weeks to a couple of months, depending on the extent of the surgery and your overall health.

In summary, if you suspect you have hypospadias and are experiencing symptoms that concern you, it is advisable to consult with a urologist. They can provide a thorough evaluation, discuss the potential benefits and risks of surgery, and help you make an informed decision about your treatment options. Remember, addressing such conditions can significantly improve your quality of life and urinary function.