Hypospadias in adults is not a life-threatening condition, but can interfere with a person’s function. It’s also common for a person with hypospadias to go unnoticed by their partners, so it’s important to visit a doctor to check the symptoms.
Treatment
Treatment of hypospadias in adults requires a different approach than that for children. Typically, a doctor will use surgery to correct the defect. Surgical treatment can correct the problem, but can also lead to complications such as urethrocutaneous fistulas, recurrent strictures, and penile shortening.
While the success rates of hypospadias repair in children are high, adult patients generally experience a lower rate of success. Surgical repair of hypospadias is considered successful as long as the condition is detected early. However, the success rate decreases with age, so it is important for patients to undergo surgery as early as possible. Moreover, older patients should be informed about the higher risk of surgical failure.
Complications
While a high percentage of hypospadias reoperations fail, the success rate for adult surgery is similar to that of pediatric surgery. As with any surgical procedure, patient selection and surgical techniques are key to the success of the procedure. Patients undergoing reoperations should be carefully monitored for complications. Surgical experience is also essential.
Although hypospadias reoperations are not as common as those performed on children, there are several complications associated with the procedure. These complications can range from a urethral fistula to persistent curvature and even loss of penile sensation. In addition, a failed hypospadias repair can lead to urethral stones and a urethral stricture.
Diagnosis
Diagnosis of hypospadia in adults can be challenging. Although the majority of hypospadias repair surgeries are successful, the odds of success decrease with age. Therefore, it is important to seek treatment for hypospadias as early as possible. Moreover, older patients must be counseled about the increased risk of failure.
Hypospadias can interfere with sexual intercourse and fertility. Sperm delivery is affected by the position of the opening. In addition, hypospadias makes it difficult for the affected person to stand and urinate. Surgery can help, but the procedure is not without risk. Possible complications include bleeding, infection, meatal stenosis, fistula, or urethral diverticulum. In some cases, more surgery may be necessary.
Tests to diagnose
Diagnosing hypospadias in adults requires a combination of physical examination and history. Physical examination should focus on the location and configuration of the meatus and the glans. Ventral curvature and skin coverage are also important. In addition, a history of infertility should be obtained. Those who had in-vitro fertilization are at higher risk for hypospadias.
The symptoms of hypospadias include opening at the bottom of the penis head or near the proximal shaft. In some cases, the opening may be located behind the scrotum. The exact cause of hypospadias is unknown, but various factors are believed to contribute to its development.
Results of surgery
The results of surgery for hypospadias in adult patients are generally good, although the success rates do decrease as patients age. This is why older patients should be encouraged to undergo surgery as early as possible. Furthermore, older patients should be counseled about the high risk of unsuccessful procedures.
One of the main concerns of adults who have undergone hypospadias surgery is the possibility of complications. These complications may include urethral fistula, recurrent stricture, chordee, and loss of penile sensation. Surgical outcomes are usually based on the experience of the surgeon and the severity of the condition.
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