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Hypospadias Treatment

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Cost for treatment

Diagnostic tests for hypospadias
 from  466
Treatment of hypospadias using surgical correction of urethral channel
 from  4717
General therapeutic rehabilitation
 from  565.57

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for hypospadias
2064
Treatment of hypospadias using surgical correction of urethral channel
15550

Memorial Sisli Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Urology and Andrology

The Memorial Sisli Hospital Istanbul is the largest and leading medical complex in Turkey, which meets the highest standards of medical care when providing the advanced diagnostics and treatment using the very latest methods. The hospital is part of the Memorial Health Group – it was the first project of this provider of m
Diagnostic tests for hypospadias
797
Treatment of hypospadias using surgical correction of urethral channel
7825

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Urology

The Medipol Mega University Hospital is the leading and the largest medical facility in Turkey where the patients can receive top-class medical services according to the international standards. Thanks to a highly qualified medical team, cutting-edge medical technology and a special atmosphere aimed at recovery, the hospital has
Diagnostic tests for hypospadias
917 help797
Treatment of hypospadias using surgical correction of urethral channel
8765.4 help7687

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for hypospadias
1853
Treatment of hypospadias using surgical correction of urethral channel
14968

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to Focus magazine, the Urology Hospital Munich-Planegg Munich ranks among the top specialized German hospitals! The hospital was founded in 1970 by Dr. Rudolf Castringius. During this time, it became the leading provider of male health care in Germany. In addition, the hospital has the status of one of the best medical
Diagnostic tests for hypospadias
2301 help1801
Treatment of hypospadias using surgical correction of urethral channel
14450

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Adult and Pediatric Urology, Nephrology

The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
Diagnostic tests for hypospadias
466
Treatment of hypospadias using surgical correction of urethral channel
4717

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for hypospadias
1808
Treatment of hypospadias using surgical correction of urethral channel
14196

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for hypospadias
2404
Treatment of hypospadias using surgical correction of urethral channel
20639

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for hypospadias
0
Treatment of hypospadias using surgical correction of urethral channel
0

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for hypospadias
1909
Treatment of hypospadias using surgical correction of urethral channel
15560

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Diagnostic tests for hypospadias
1831
Treatment of hypospadias using surgical correction of urethral channel
15042

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for hypospadias
1819
Treatment of hypospadias using surgical correction of urethral channel
14454

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for hypospadias
2235
Treatment of hypospadias using surgical correction of urethral channel
18323

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Urology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for hypospadias
1826
Treatment of hypospadias using surgical correction of urethral channel
14385

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for hypospadias
1885
Treatment of hypospadias using surgical correction of urethral channel
15674

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for hypospadias
2011
Treatment of hypospadias using surgical correction of urethral channel
15521

About the disease

Hypospadias is the most common malformation of urethra in boys. According to different statistics over the last 40 years disease became more common affecting 1 child in every 125-150. 

Causes of hypospadias have not been determined yet. Major factors in hypospadias development are environmental disasters, gene mutations, and androgen deputies (not clear, please check this word) which change hormonal status of fetus resulting in penis formation abnormalities. Current disruptors include fungicides, phthalates, pesticides and herbicides, which can cause hypospadias. Development of hypospadias can be caused by hormonal therapy, which a pregnant woman needs to undergo if there is threat of miscarriage. Also if a woman used hormonal contraception, prior to expected pregnancy, a child can also develop hypospadia. If a woman took female hormones to increase fertilization, it can also affect formation of child`s sexual organs. Hereditary factors play an important role in the occurrence of hypospadias. There are cases of children born with hypospadias after several generations.

Often hypospadias is combined with other malformations, such as inguinal hernia, cryptorchidism and hydronephrosis, which is a kidney disease. Therefore, all children with hypospadias need to undergo ultrasound of kidneys and bladder to identify possible comorbidity of urinary system. In the presence of hydronephrosis or vesicoureteral reflux, patient requires correction of upper side of the tract. Patients with proximal forms of hypospadias often require a differentiated approach to the treatment. These children may need to consult with an endocrinologist, geneticist to study the problem in order to avoid formation of further sex pathology.

Types of hypospadias depend on the location of malformation. There is hypospadias of capitatum, when the external opening of urethra is more proximal to the top of penis head. The foreskin is usually displaced. Penis also has a small ventral curvature.  Patients with hypospadias of capitatum complain that external opening of the urethra is blocked, stream of urine is very thin and there is change in appearance of the penis.

Patients can also suffer from hypospadias of crown. In this form of hypospadias external opening of urethra is located in the coronal sulcus. Foreskin has the form of "hood". There is also ventral curvature of penis trunk. Complaints include narrowing of hole on the crown. Urine stream is also directed at the wrong angle of penis.

Hypospadias of stem happens if there is an external opening of urethra, which is located at different levels of penis. If penis has a more pronounced curvature, it can be directed downwards. Sometimes patients pull penis to stomach to urinate.

Hypospadias of the scrotal refer to rear forms of hypospadias. There can be a marked ventral curvature of the penis. Urination is possible only in seated position. External genitals resemble large clitoral enlargement. In most cases, boys need to consult with an endocrinologist.

Perineal hypospadias - in this form of hypospadias external opening of the urethra opens on the perineum, the penis is bent sharply, scrotum is split. Boys can urinate only sitting. External genitals have a strange structure.

Symptoms

  • External opening of urethra does not open at the top of penis, but becomes displaced proximally in the direction of perineum
  • Penis bends sideward to a greater or lesser extent. The degree of curvature is determined at the time of penile erection or during the surgery
  • Dysplasia of foreskin - foreskin is split and it is located on top of the penis

Diagnosis

Diagnosis is usually done right after the birth of child, because the deformity of a penis can be seen during first days of child`s life. Sometimes it can even be diagnosed during the last months of pregnancy with ultrasound that can detect slightest deviations in physical form of a baby.

Treatment

The optimal age for hypospadias treatment ranges from 6 to 18 months old. At this age, children have less postoperative complications and they can recover more quickly. Children who were operated before they were 3 years old usually do not remember surgery, which is also a good emotional benefit of early surgery.

  • Hypospadias correction. This type of surgery can be classified as reconstructive plastic surgery. During reconstructive surgery doctors eliminate the curvature of corpora cavernosa and recreate missing urethra. Formed urethra grows along with penis as child becomes older.
  • Surgical correction of urethral channel. External opening of urethra should be located on top of the penis head and have the normal direction to provide a direct stream of urine, which would have no splashing and no deviation. Doctors also aim to remove all cosmetic defects and to ensure full patient's psychosocial adaptation in society. In some cases boys are advised to visit psychoanalyst which would help them live in society normally.

For the surgical treatment of hypospadias doctors apply modern methods of surgery, using special equipment and microsurgical instruments. They also do everything to minimize rate of postoperative complications and to achieve excellent functional and cosmetic results. Sexual function after surgery for hypospadias is not damaged.




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