Male genital deformities, different types of treatment

The male genitals are closely related to the urinary system and sexual function. If the genitals are congenitally abnormal, such as double penis, hypospadias, hidden penis, etc., it will have a great impact on the normal life of the child. So, what treatment methods should be adopted for male genital malformations?

How should male genital deformities be treated?

It is currently believed that, as long as conditions permit, hypospadias and penile curvature should be repaired with one surgery as much as possible. The purpose is to correct the ventral curvature of the penis to restore the normal position of the urethral opening. Newborns with hypospadias should not undergo circumcision because their foreskin tissue can still be used in surgical reconstruction. As for the time of surgery, it is generally believed that 2 to 4 years old is more appropriate. We should strive to correct congenital defects before school age to reduce the psychological trauma caused by surgery. However, since the infant's penis is very small, there is a certain degree of difficulty in operation. Surgery can successfully correct the penile curvature of 70% to 80% of patients and restore normal erectile function and urination. It should be noted that glans hypospadias usually does not require surgical treatment. A long-term study showed that after surgery, their puberty development, age of sexual life and sexual function are almost the same as those of the normal population. Due to technological advances, most people can recover their sexual function except for the most serious patients. Severe glans hypospadias, penoscrotal junction hypospadias, and perineum hypospadias are easily misdiagnosed as hermaphroditism or female in newborns. If surgical treatment does not achieve satisfactory results, it is easy to affect future fertility. If you are an only child, you can apply for care to give birth to a second child according to regulations.

There is a great deal of controversy over the treatment and surgical age of cryptic penis. If the foreskin can be turned up to expose the glans penis, surgery is not necessary, and cryptic penis gradually improves with age. The purpose of the surgery is to expand the foreskin opening and expose the glans penis. Be careful not to do a simple circumcision. Surgical method: ① Make a circular incision along the foreskin opening, and cut the outer plate about 1.5cm along the directions of 2, 6, and 10 points; ② Make a longitudinal incision of 1.5cm along the inner plate of the foreskin at 4, 8, and 12 points, turn the foreskin outward, and the glans penis can be smoothly exposed; ③ Suture the inner and outer plates of the foreskin in the shape of an interlocking skin flap. The key points of this operation are as follows: the inner and outer layers of the foreskin are incised longitudinally in a staggered manner, and the incisions are sutured in the shape of an inlaid skin flap. The operation enlarges the foreskin opening.

Another surgical method: try to evert the foreskin, make a narrow longitudinal incision at 10 o'clock and 2 o'clock to make the foreskin evert and expose the glans penis. Make a circular incision of the inner plate 0.8-1.0cm away from the coronal sulcus, and trim and suture the foreskin.

Since the characteristics of the aforementioned hidden penis are fewer outer plates and more inner plates, the dorsal skin of the penis is short and the ventral skin is long, it is sometimes necessary to turn the ventral pedicled skin flap to the dorsal side to repair the damaged skin.