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Surgery For Penile Torsion
Male newborns with penile torsion have a relatively frequent inborn disease. It affects up to 1 in every 80 newborn men. The penis looks twisted on its axis, typically to the left. Around the fifth week of fetal development, the penis starts to emerge. The urethra, on the other hand, expands more towards the top of the penis as it develops. After the duct has fully grown, the foreskin produces. When boys suffer from this condition, it leads to penile torsion. Therefore, the surgery for penile torsion is the most successful treatment.
Penile Torsion in Baby Boys
Penile surgery in baby boys is a standard and highly effective treatment option. It is best conducted before age two; the optimal period is between four and eight months. However, chordee surgery in older boys or men can be more problematic, requiring numerous surgical procedures.
The treatment takes between 60 and 120 minutes, according to the severity of the chordee, and the baby can usually go home the same day. The surgery’s goal is to straighten the penis. During the surgery, any extra skin is removed; this is known as degloving. To check that the penis is no longer curved, the best hypospadias surgeon performs an erection test using salt solution.
Why should your baby seek chordee surgery?
A straight, erect penis is essential for normal sexual function. Chordee may not affect males as youngsters, but it can impair male fertility later in life if severe enough. Because surgery for penile torsion is significantly more straightforward throughout childhood, it is done when your child is relatively young rather than later.
Can penile torsion in boys interfere with fertility?
Hypospadias does not cause infertility. On the other hand, men with severe hypospadias may be infertile owing to testicular difficulties.
Hypospadias does not affect sexual sensations. Some parents wonder if cosmetic surgery to address penile torsion would interfere with sensual experience. Fortunately, remedial surgery of the penis or testicles does not usually impair reproductive function.
How long does it take to recover from penile torsion surgery?
The majority of boys can go home from the hospital on the same day. Moreover, in three to four days, you can remove the dressing. Five to fourteen days following the chordee surgery, you need to replace the catheter. Swelling and bruises appear two to three weeks after surgery and may linger longer in certain boys. However, the penis will regain its natural look as the swelling subsides. Furthermore, the whole healing process may take up to a year following the treatment.
In addition, most boys will only require one treatment to correct their condition. Some boys will require additional treatment to fix a problem that may arise following the surgery. Problems that do arise can be effectively rectified.
When to visit the surgeon following surgery for penile torsion?
Most of the boys visit twice in the starting few months after surgery. Following that, boys are checked at various intervals according to their level of recovery. During a follow-up visit to the clinic, the surgeon typically has them urinate to verify they have a strong urine stream. These visits are necessary to ensure a proper recovery process after surgery.
Complications after penile torsion surgery
Every surgery has the possibility of complications. Some of the potential hazards of hypospadias repair are here.
Bleeding
Any surgical procedure, no matter how little, has the danger of bleeding. To avoid bleeding after cryptorchidism, a surgeon applies a pressure dressing to the afflicted region. With surgery for penile torsion, bleeding and blood infusions are relatively uncommon.
Infection
Infection is a danger with all procedures. We make several efforts to limit this risk, including the use of antibiotics in catheterized patients.
Spasms in the bladder
People who have indwelling catheters may develop bladder spasms. These catheters are essential for safety, although they might be uncomfortable following surgery. Medication may assist with bladder spasms but may not remove the discomfort.
Fistula
After chordee surgery, your baby may develop a pee leak from any place in the new urethra, known as a fistula. The chance of a fistula is minimal if your child’s repair is basic; nevertheless, more elaborate surgeries entail a more significant risk of a fistula. If your baby develops a fistula, he will require surgical correction. This repair is often simple and performed as an outpatient operation. However, it cannot be performed for a minimum of six months after the first surgery.
Stricture
Stricture and stenosis refer to urethral narrowing, either where the neourethra meets the pre-existing urethra or at the urinary aperture. This necessitates either dilation or an internal urethrotomy. A urethrotomy is a technique that uses a cystoscope to cut the constriction. Because stricture and stenosis might reappear even after treatment, the repair treatments may need repetition.
Chordee Recurrence
Recurrent chordee (penis bending) is an unusual complication following chordee surgery. If the chordee reappears after surgery, another procedure to realign the penis may become necessary.
Diverticulum
A freshly developed urethra produces a pouch, called a diverticulum. It may appear to be a urethral ballooning. A diverticulum can lead to infection and a must removing element surgically.
Conclusion
ALSA Pakistan highly values providing the finest possible surgery for penile torsion to hypospadias patients. It includes not just examination, surgery, and follow-up treatment but also the ongoing review of results and opportunities for improvement. In addition, we have a patient and parenting assessment in our follow-up sessions to measure the psychological impact of hypospadias on our patients. The best hypospadias surgeon in Pakistan at ALSA is at your service.
