Coronal groove hypospadias

The area where the glans penis connects to the penis is also called the coronal sulcus, and the male penis urethra and ejaculation opening are the same channel. However, there is a disease condition called hypospadias around the coronal sulcus, which is a congenital malformation of the male penis. If there is hypospadias, the urethra must be reconstructed through surgery to restore a man's normal physiological function. Next, let readers learn about the relevant knowledge of coronal sulcus hypospadias.

Hypospadias is a common congenital malformation of the male urogenital system, with an incidence of 1/300. Some people believe that this disease is recessive, and if a couple has a child with hypospadias, there is a 10% chance that the other children will also have the disease.

Under normal circumstances, coronary hypospadias occurs when the urethral folds gradually fuse from the proximal end of the urethra to the glans end to form a tube, namely the urethra, after the 7th week of embryogenesis. This process depends on the male hormones secreted by the embryonic gonads and also on the response of the embryonic urethral grooves and folds to ketones. When the urethral folds are blocked from forming a tube, hypospadias will occur. In addition, the interstitial tissue at the urethral opening does not develop, forming a fan-shaped fibrous cord that surrounds the external urethral opening and extends and embeds into the glans.

There are five basic characteristics of coronal sulcus hypospadias:

1. No frenulum

2. The foreskin is concentrated on the back of the glans and forms a "turban shape"

3. The glans is flat and shovel-like

4. Curvature of the penis, especially noticeable during erection

5. Abnormal position of the urethral opening

What to do about hypospadias

The best treatment for hypospadias is surgery. From a psychological development perspective, the two best times for surgery are 6-15 months and 3-4 years old. Surgery involves two aspects: first, straightening the curved penis, and second, moving the ectopic urethra to the top of the glans. Therefore, a section of the urethra must be reconstructed, which is one of the keys to the success of the surgery.

In order to reduce surgical complications, the following issues should be noted after surgery:

1. Ensure the success of urethral reconstruction. There are various methods to correct hypospadias. The first thing is to ensure the success of urethral reconstruction. The most preferred method is the foreskin flap method, followed by the penis flap method, skin grafting method, etc.

2. Prevent infection. Prevent infection measures before, during and after surgery, otherwise it will affect the success rate of the operation. Cleaning should be done well before surgery, aseptic operation and antibiotics should be used during surgery. After surgery, more attention should be paid to the good care of the urethra and local wounds. Only the reasonable and effective application of antibiotics can prevent postoperative infection.

3. Pay attention to the prevention and treatment of penile erection. The prevention and treatment of penile erection is also an important measure to ensure the success of the operation. The short-term application of estrogen is very necessary.

4. Correction of penile curvature. Correction of penile curvature requires the removal of the fibrous tissue and other pathological tissues that cause penile curvature. However, the tunica albuginea of ​​the penis should not be damaged or cut off at this time, otherwise it is easy to cause secondary penile curvature.

5. Penile wound treatment and care. Penile wound treatment and care must be done with appropriate and complete pressure bandage to avoid bleeding and dead space. Of course, corresponding preventive measures should also be taken for urethral fistula and stenosis.