Epispadias and hypospadias are relatively common genetic conditions affecting any child born prematurely. Both conditions are easily treatable, can be prevented, and can even be treated without any surgery. In some cases, women can undergo multiple surgeries to correct their abnormally-shaped penis and pelvis. While males often undergo more surgical procedures to repair their disorder, females generally only need one procedure and will achieve similar repairs as men.
Treatment options for epispadias and hypospadias are different. A physician can diagnose both conditions using a physical exam alone or refer you to a pediatric urologist for a more comprehensive evaluation. In some cases, a male can undergo both procedures. While male surgeries are more complicated than female ones, they can still be performed successfully. The goal of surgery is to restore the patient’s genital appearance and ensure urinary continence. Despite the difficulties of these surgeries, modern treatments allow patients to achieve both goals.
Males suffering from epispadias can only be treated with surgery. They can undergo a local flap to re-establish the urethra or a clitoris. However, surgery is often necessary to correct this condition. The surgical trauma can damage skin, and it can be fatal. Although males rarely experience psychosocial issues, females may suffer from social ostracism, and several other psychiatric problems often accompany this condition.
If the problem persists, surgery can repair the deformed urethra. In addition, the surgery may be performed to improve the appearance of the genitals. The surgeon will usually discuss surgical options with the child and decide if any treatment is necessary. Sometimes, more than one surgery may be needed to correct the deformity. While most patients with epispadias experience no symptoms, there are other medical complications.
Congenital disabilities can cause a variety of problems. Depending on the severity of the condition, a baby may develop bladder control and impotence. A doctor may perform surgery to repair the defect or correct a baby’s epispadias. This procedure can take several hours. It is important to note that the urethra of a baby can’t be repaired in a day.
Both male and female epispadias are genetic conditions in which the urethra is shorter than the urethra in both sexes. The male epispadias meatus is located at the bottom of the penis, while the female epispadias meatus is located near the pubic bone. While a child with hypospadias has a shorter urethra, the urethra does not close fully. Because of this, the male can’t get the urine to flow out, resulting in urinary incontinence.
Surgical correction of epispadias can be performed by a doctor or by an experienced surgeon. The surgery should correct the irregularities in the penis and restore urinary control. In some cases, the penis may be underdeveloped in both sexes. To fix this condition, a surgeon may use the modified Cantwell technique, in which the penis is rebuilt, and the urethra is moved to the normal position.
A patient with epispadias will not be able to form a tube. In contrast, a child with hypospadias will have an opening on the top of the penis that will not develop into a tube. Both of these disorders require surgical reconstruction. For those with epispadias, surgery should be completed sooner rather than later. This will avoid amputation risks, which is a potentially life-threatening condition for the affected person.