Question
The child is 7 years old and was found to have mild undercurvature of the urethra and phimosis at birth. A previous operation was performed to separate the phimosis, but some remaining adhesions have not been completely separated. The question is whether another operation is needed, and when it would be appropriate to perform the operation. Additionally, it has been noticed that the testicles are smaller than average, and the question is whether this is normal or if there is a problem, and how to treat it and the best age for treatment if necessary.
Answer
Undercurvature of the urethra can be classified into four types, including glans penis type, penis type, scrotum type, and perineum type. The patient should undergo surgery before entering school to correct the curvature of the penis and form the urethra, restoring normal urination and erectile function. The surgical outcome should allow the patient to urinate standing up and for the penis to stand upright during erections, with a satisfactory appearance. Regarding the issue of testicular size, if indeed smaller, gonadotropin can be used for treatment. It can be administered intramuscularly twice a week at a dose of 1000 units each time, totaling 10000 units. Phimosis can be addressed during surgery. Wishing the child a speedy recovery.