Hypospadias.....

Not sure if this is in the right spot....

Our son was born with a very obvious chordee. We were told as soon as he was born he had this. At later appointments we were told there were chances of a hypospadias as well. I didn't really know alot or find alot of information about this. We finally saw the surgeon and he explained about them both but skimmed on the hypospadias and said he'd explain more later if he discovered one.

Last week he had his surgery on the 22nd. When the surgeon came around he explained jaydon not only had a hypospadias he had 2 urethras both of which weren't working correctly. He tried to fuse them together but this didnt work. So he prepared him for secon stage surgery.

Has anyone else experienced 2 uretheras and if so did u end up with 2 or 3 operations. I am struggling to find good information on this.

Sair xxx
U

hey honey,

My baby boy had this too and we were very surprised to find he also had two holes.
He only had a slight bend ( is that the chordee?)
And when he began urinating we saw it went sort of to the right of us instead of straight ahead.
when we went to get our son circumsised at 5 weeks the pediatrician explained the condition to us.
He has two holes,the condition is very common.... 1 in 200 males have it , and it can be fixed.

One of his holes was just underneath the other and the urine coming out of that one instead of the tip.
At six months old he had his operation and they joined the right hole in line with the urethra and just put a stitch in the other,

In some cases though there are many holes and sometimes several have urine coming from them.
My boy had 2 but only one working.
My son was fixed with one operation though, I don't understand what went wrong, our pediatrician said it was common and could be fixed quite easily.

Where are you from?

Hi I did write a reply last night but it's not there now.

We are in Tasmania we have one surgeon he's really good. He said the statistics for the chordee are as you quoted but he said the 2 uretheras is fairly rare.

With jays one finished bout 3/4 way down the other half way. The problem with it was the muscles and tissue weren't sufficient to fuse together. He was deficient in the tissue on the under side of the penis as well.

Glad to hear your son is doing well

My youngest son had a hypospadia and chordee which was corrected when he was 15 months. Sorry but I don't have any experience on the two urethras, but just wanted to reassure you that now my son looks perfectly normal and the surgeon was even able to create a foreskin for him so he didn't have to be circumcised. Apart from an infection straight after the first operation he has had no ill effects from the surgery either. The only scarring he has is on the underside of his penis and is already very faded. Hopefully your surgeon will be able to help your son with only one more operation.

xx

Apparently there are a lot of case with more than two urethra holes, you can have up to eight or something.... My sons were very close to the tip so they were ably to be close and the urethra alined....

I think the only reason your son will need another operation is because they didn't know the hypospadias was part of the problem until surgery IYKWIM? Otherwise they could of fixed them together at once.

my boy had only half a foreskin, so we had him circumcised int he same op and he is fine and he has a GREAT willy lol!!

don't stress about it either, I worried to much and when it was over, I was super relieved!!!

Thanks heaps for that!!! Lol

We were told that if hehad the hypospadias depending on the degree it would be 2 ops and obviously the degree was worse than anticipated so couldn't do all at once the first op to do what they did took bout 2.5 hours and he was 12 mths 2 weeks.

I had a look today and it still has stitches nut now the swelling is going down the work is quiet neat and I suppose they will tidy up even more next time.

I think what I really want to know is what will they make the uretheras tube out of??? We have 3 mths till next apt as he said Friday he can't do anything till it heals so unless he can't wee and there's a problem to wait till then

I don't know what they used to create my son's urethra, but it wasn't the foreskin (he only had foreskin at one side so they used it all to stretch around and create a complete foreskin) and they must have used something as his hypospadias was quite severe and came out less than halfway down the penis. Hmm, probably something I should have asked at the time!

they told us they would use a small plastic tube if they needed to , hope that helps, only about 1cm long, and it would be deep inside so he wouldn't feel it ;)

I know this is an old thread but just wondered if anyone who had their child's hypospadias repaired suffered from a subsequent fistula and how this was diagnosed? My son is recently toilet trained and he pees at a funny angle. If he pees sitting down then the pee kinda goes backwards, and if he is standing up it goes straight down (not out the front iyswim). I am concerned he is urinating out of a fistula and the urine is then travelling through the created forekin before coming out. My other thought is that there is a lot of forskin at the tip of his penis so maybe there is too much and he needs it trimmed (shudder) or even a circumcision.

I will be making an appointment with a urologist asap but just wondered if anyone else has noticed this in their child many months after the original operation?

Hi I'm really sorry I can't help on this one. We have just had a 3 mth remove from our intitial operation and go back in may to get our next operation date to have the tube inserted.

I hope someone else can answer your question if you have not already been seen by dr.

If you have I'd love to know how you went

I am still waiting for my appointment with the urologist, but he saw a paed today and there is no fistula. He does still have some curving of the penis, which is probably what is causing the angled pee, but she doubts it will cause him any problems long term.