Hypospadias in Newborns: When to Seek Treatment? - Urology

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Hypospadias is a congenital condition in which the opening of the urethra is not located at the tip of the penis but rather on the underside. This condition can vary in severity, and it is important for parents to understand when to seek treatment and what to expect regarding management.

When to Seek Treatment:
The first step in managing hypospadias is to consult a pediatric urologist. Ideally, the first appointment should be scheduled shortly after diagnosis, typically within the first few months of life. This allows for a thorough evaluation of the condition and a discussion of potential treatment options. Most pediatric urologists recommend that surgery be performed when the child is between 6 to 18 months old. This timing is beneficial because it allows the child to be old enough for the procedure while still being young enough for optimal healing and development.

Surgical Intervention:
Surgery is the primary treatment for hypospadias and is usually performed in one or two stages, depending on the severity of the condition. The goal of the surgery is to reposition the urethral opening to the tip of the penis and to correct any curvature of the penis (if present). The first surgery is typically done between 6 and 12 months of age, but this can vary based on the specific case and the surgeon's recommendation.
Postoperative Care and Considerations:
After surgery, it is essential to follow the pediatric urologist's postoperative care instructions closely. This may include managing any discomfort, monitoring for signs of infection, and ensuring that the child avoids certain activities that could strain the surgical site. Parents should also be aware of the potential for complications, such as fistulas (abnormal connections) or strictures (narrowing of the urethra), which may require additional interventions.

Long-term Outlook:
Most children with hypospadias who undergo surgical correction have good outcomes. They can achieve normal urinary function and sexual function as they grow. However, it is important to have regular follow-ups with the urologist to monitor the child's development and address any concerns that may arise.

Choosing a Specialist:
In terms of finding a qualified pediatric urologist, it is advisable to seek recommendations from your pediatrician or to look for specialists affiliated with reputable children's hospitals. In Hsinchu, you may consider hospitals such as Hsinchu Mackay Memorial Hospital or National Taiwan University Hospital Hsinchu Branch, which have pediatric departments and urology specialists.
In conclusion, if your newborn has been diagnosed with hypospadias, it is important to consult a pediatric urologist early on. The recommended timeframe for the first appointment is within the first few months of life, with surgery typically occurring between 6 to 18 months. Following the surgeon's advice and maintaining regular follow-ups will help ensure the best possible outcome for your child. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized guidance.