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Hipospadias - Treatment

Tratamiento:

Los bebés con hipospadias no deben ser circuncidados y se debe preservar el prepucio para utilizarlo en una reparación quirúrgica posterior.

La cirugía generalmente se hace antes de que el niño comience su vida escolar. En la actualidad, la mayoría de los urólogos recomienda la reparación antes de que el niño cumpla 18 meses de edad. La cirugía se puede hacer ya a los cuatro meses. Durante la cirugía, se endereza el pene y se corrige el hipospadias, utilizando injertos de tejido del prepucio. La reparación puede requerir múltiples cirugías.

Expectativas (pronóstico):

Los resultados después de la cirugía son particularmente buenos. En algunos casos, se necesita más cirugía para corregir fístulas o la reaparición de la curvatura anormal del pene.

Complicaciones:

Si el hipospadias se deja sin tratamiento, un niño puede presentar dificultades con el entrenamiento para el uso del baño y problemas con las relaciones sexuales en la vida adulta. Durante la vida del niño, se pueden formar fístulas y estenosis uretrales, las cuales requieren cirugía.

Situaciones que requieren asistencia médica:

Por lo general, el diagnóstico de hipospadias se hace en un niño poco después del nacimiento. Consulte con el médico si nota que la abertura uretral de su hijo está localizada anormalmente o que su pene se vuelve curvo durante la erección.

  • Reviewed last on: 9/3/2010
  • Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Kraft KH, Shukla AR, Canning DA. Hypospadias. Urol Clin North Am. 2010. 37:167-81.

Elder JS. Anomalies of the penis and urethra. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 544.

Borer JG, Retik AB. Hypospadias. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 125.

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