Question
My son has congenital hypospadias, with a large and curved penis head and a relatively short urethral opening. He had a surgery at Yunan Second Affiliated Hospital on July 26, 2008, which resulted in urinary leakage. I’m considering a second surgery. What is the success rate of a second urethral surgery after a failed first attempt?
Answer
Hypospadias is a common congenital anomaly in male lower urinary tract and external genitalia. The urethral opening normally extends from the ventral side of the penis to the perineum near the proximal end of the normal urethral opening. Most cases are accompanied by incomplete penile development. It is one of the most common congenital anomalies in the pediatric urogenital system. Hypospadias can be a single defect or part of a more complex issue, such as intersex conditions. Repairing and reconstructing hypospadias requires various surgical techniques, and most doctors advocate for early surgery, which can be performed as early as 6 months of age to minimize the impact on the child’s physical and mental health. If the first surgery fails, it is important to seek medical attention at a higher-level hospital and determine the treatment plan based on the postoperative situation.