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Hypospadias is a common malformation of the male genitalia and occurs in 1:300 newborns. The cause has not been clarified, a familial clustering occurs.
Typical signs of hypospadias are a malformation of the urethral opening, with varying degrees of severity. The opening may be only slightly displaced in the area of the glans, in the area of the shaft or, in severe forms, also in the area of the scrotum. In addition, there is usually a curvature of the penile shaft of varying severity as well as an atypically shaped foreskin (foreskin apron).
The malformation is usually already noticeable in the puerperium. In severe forms, especially if an undescended testicle is present at the same time, hormonal and possibly genetic investigations must be carried out. Occasionally, an ultrasound scan is performed to rule out other malformations in the kidneys and urinary tract.
Depending on the severity of the hypospadias, an operation with reconstruction of the missing urethra (relocation of the opening to the tip of the penis), correction of the curvature and correction of the foreskin is recommended, as restrictions in function can occur later (incorrectly directed urine stream, erection problems, difficulties with procreation). The ideal time for this operation is between the ninth and eighteenth month of life. A mild form does not always require surgery.
The operation is performed under general anaesthetic. During the operation, a bladder catheter is inserted to splint the newly formed urethra, which remains in place for between seven and fourteen days depending on the severity of the hypospadias. However, discharge with a catheter is possible after two to five days. Parents are instructed in the care and handling of the catheter beforehand.
Immobilisation or bed rest is not necessary after the operation and children can move around normally.
Overall, the clinical picture has a good long-term prognosis. You will be informed in detail about the risks and complications of the operation in the consultations before the operation. The complication rate is 5-25 % (depending on the severity of the hypospadias).
058 387 78 82 (Costs are settled via the health insurance company)
In the event of an emergency abroad, call the emergency number of your health insurance company. You will find the contact details on your health insurance card.
145 (Poison and Information Centre)
University Children's Hospital of both
Basel, Spitalstrasse 33
4056 Basel | CH
Phone +41 61 704 12 12
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The Medgate Kids Line provides quick and uncomplicated medical advice if your child is unwell. The medical team of our partner Medgate is available to you by telephone around the clock.
For emergencies abroad: Call the emergency number of your health insurance company. You will find this number on your health insurance card.
More information: On the Page of the emergency ward you will find everything you need to know about behaviour in emergencies, typical childhood illnesses and waiting times.
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