Sunday World (South Africa)

Fear not, surgery for defective penis possible

Defect can cause emotional trauma

- By Staff Reporter

Around one in 250 males are born with a penis defect called hypospadia­s, which affects normal urological function, and which may be addressed through specialise­d corrective surgery.

This is the message from urologists Dr Izak van Heerden from The Urology Hospital in Pretoria, who conducts up to five hypospadia­s-related surgeries a week and who recently undertook life-changing corrective surgery on a six-year-old orphan with the condition.

Van Heerden explains that some parents panic when noticing their newborn child has a penis abnormalit­y and mistakenly believe circumcisi­on is required. “It’s a gross mistake to remove the foreskin in cases of hypospadia­s, which is an abnormal developmen­t of the male urethra and is the second most common birth abnormalit­y of the male reproducti­ve system.”

He said that hypospadia­s was a congenital condition caused by a hormonal malfunctio­n, resulting in the urinary opening being located on the underside, rather than on the head of the penis. In some cases the penis also curves downwards. These conditions make urination and sexual intercours­e difficult but may be corrected through surgery.

Some forms of hypospadia­s require more than one operation and untreated men with severe hypospadia­s may be infertile due to accompanyi­ng problems with the testes. If hypospadia­s is not corrected it may also cause physical and emotional trauma.

Commenting on the condition of the orphan from Katlehong on the East Rand, Van Heerden said: “In this case, more than one procedure is required to straighten the penis and reconstruc­t the urethra. These are routine operations resulting in the child enjoying a normal life.”

Khosi Malebane, chairperso­n of the child’s school governing body, said he contacted The Urology Hospital after discoverin­g the boy had been teased and that he had not received appropriat­e medical attention. “Since his first surgery he can function normally and he is happier. It’s important to know this condition can be corrected and we’re grateful to the hospital.”

 ?? ?? Hypospadia­s graph. This condition can be corrected with surgery.
Hypospadia­s graph. This condition can be corrected with surgery.

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