Epispadias Treatment Centre Delhi

Ephispadias Treatment Centre Delhi, we discuss and understand what is epispadias? Epispadias is a rare birth defect that affects the opening of the urethra. While it occurs in different ways in males and females, it can cause severe complications to them while growing up. However, epispadias is easy to treat through surgical means. Read on to know more about epispadias and how it can be treated at Epispadias Treatment Centre Delhi

Epispadias in Boys

In males, the opening of the urethra, known as the urinary meatus, is located at the tip of the penis. However, in boys suffering from epispadias, it can be located anywhere on the top of the penis. The abnormal position causes urinary issues, as well as distort the appearance of the penis. Depending on the location of the opening, cases of epispadias can be divided into three categories:

Granular Epispadias: The urinary meatus is located at the head of the penis, but not at the tip. This is the mildest case of epispadias. Boys suffering from granular epispadias don’t face any significant imparity in their urinary functions.

Penile Epispadias: In this case, the urinary meatus can be located anywhere on the shaft of the penis. This excludes the head and the base of the penis. This is the most common type of epispadias in boys.

Penopubic Epispadias: Here, the urinary meatus is located at the base of the penis, near the pelvic bone. It is the most severe case of this condition.

Epispadias occurs in 1 out of 117,000 boys. This makes it a very rare condition. Generally, boys with epispadias have a good bladder neck and hence can be trained to hold urine normally. But, due to the large number of factors involved, treatment is also more difficult compared to girls. Treatment of the same is provided at Epispadias Treatment Centre Delhi.

Epispadias in Girls

Cases of epispadias in girls are much rarer, with only 1 in 484,000 girls suffering from it. However, when it does happen, the bladder sphincter is almost always impacted. This makes it much harder for them to hold their urine, even without external stress. The condition widens the pelvic bones, though the separation can be of varying degrees depending on the severity of the condition. But it stops the clitoris from connecting to the center, and instead seemingly divides it into two halves. Treatment of the same is provided at Epispadias Treatment Centre Delhi.

Symptoms Of Epispadias | Epispadias Treatment Centre Delhi.

In boys suffering from epispadias, the following symptoms could be found:

A short and widened penis with an abnormal curvature (known as dorsal chordee). Even in mild cases, the penis would have to be surgically fixed to regain normal curvature.

In cases of penopubic epispadias, the bladder sphincter becomes shaped like a horseshoe (instead of a ring) and does not close properly. This makes the boys prone to leak urine under stress (like coughing, lifting weight, jumping hard, etc.).

The pelvic bones do not come together as they normally should because of a widened shape.

In penopubic epispadias, the urine can flow back into the kidneys (known as reflux nephropathy).

The area between the urinary meatus and the tip of the penis might look like a gutter.

In girls suffering from epispadias, you could find the following symptoms:

Widened pelvic bones and reflux nephropathy.

The clitoris and labia appear abnormal.

More vulnerability towards urinary incontinence and urinary tract infections.

Causes Of Epispadias| Epispadias Treatment Centre Delhi

Epispadias is a birth defect, which means that it occurs at birth (or more specifically, during the gestation period). Unfortunately, researchers are still unable to identify what exactly causes epispadias. However, certain risk factors increase the chances of getting epispadias.

Medically, the following risk factors are identified:

Males are more prone to be affected than females.

Data suggests that Caucasians are more vulnerable to the condition than other races, though the causes are not confirmed.

If one of the parents suffered from epispadias, the chances of the child getting it also increases.

Diagnosis at Epispadias Treatment Centre Delhi

Most cases of epispadias are identified immediately after birth when the doctor examines the newborn. However, in some mild cases of epispadias, this might be overlooked. In such cases, the problem becomes apparent to the parents when the child is few years old. A doctor will be able to identify it after a physical examination and proceed with the treatment.

Epispadias Treatment Centre Delhi

In boys, the surgical treatment of epispadias can be fairly complex and depend on several factors like:

Fixing the curvature of the penis

Fixing the size and appearance of the penis

Urinary incontinence in case of the affected bladder neck

Type of epispadias

The most common types of surgeries for epispadias are Mitchell Technique and the modified Cantwell Technique. Both involve disassembling and rebuilding the penis, either partially or completely, to ensure the proper functioning of the urethra. A penile reconstruction surgery would fix the shape, size, and appearance issue regarding the penis.

In girls, the treatment is simpler. While the clitoris and vagina are impacted by epispadias, the rest of the female reproductive system is unaffected. When the condition is diagnosed early, the treatment might be as simple as bringing the two halves of the clitoris together and placing the urethral opening in its correct position. Early diagnosis also removes the chances of urinary incontinence later in life. When the diagnosis occurs later, the vagina might need reconstruction surgery. Urinary incontinence too can be surgically corrected.

Life After Epispadias Treatment Centre Delhi

Most children undergo treatment for epispadias before the age of 5 and don’t face any issues later in life. Persistent penile curvature used to be an issue in older treatments, but now it is fixed during the surgery itself. The only notable issue after the treatment is usually urinary incontinence, that too only in severe cases where the bladder neck was affected. However, it can be fixed with minor surgery. Apart from this, almost all patients go on to live a healthy life without any future complications related to epispadias.

Conclusion Epispadias Treatment Centre Delhi

Epispadias might be both a mild and a severe condition in children. However, you must know that it is not a burden that your child will have to carry forever. A simple surgery can solve the issue and allow your child to live a normal life forever.

Epispadias Treatment Centre Delhi

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316
Email:- info@urethraandpenilesurgery.com

website :- www.urethraandpenilesurgery.com

Here is how you can treat Phimosis at Phimosis Treatment Centre Delhi

Phimosis Treatment Centre Delhi

Phimosis is a very common condition that is usually found in young boys. However, it is not uncommon among adults either, and can sometimes become a serious issue. It is important to understand the distinction between phimosis and other similar conditions which only occur occasionally due to external factors. Here is what you need to know.

What is Phimosis to be treated at Phimosis Treatment Centre Delhi

The foreskin is a protective layer of skin that covers the sensitive head of the penis. However, when a person has to urinate or have sex, the foreskin needs to be retracted. Phimosis is a condition where a person is unable to retract or pull back the foreskin around the head of the penis.

Phimosis occurs in uncircumscribed boys and men. A tight foreskin is not uncommon in very young boys of age 3 and less, as the foreskin has not been developed fully to be retractable. Parents usually pull the foreskin a little while bathing the child for hygiene purposes. As the child grows, the foreskin grows too, and by the age of 10 it becomes retractable on its own. However, in some boys, this does not occur even after they have reached puberty– this is known as phimosis.

While phimosis is more commonly found in young and adolescent boys, older men can also suffer from it. However, in these cases, phimosis is usually induced by trauma rather than from birth.

 Causes Of Phimosis at Phimosis Treatment Centre Delhi

·       There is no clear reason for naturally-occurring phimosis. Foreskin tends to loosen over the years as a child grows; in some boys, this does not happen.

·       Poor hygiene can cause an infection inside the foreskin, which leads to swelling and prevents the foreskin from getting retracted.

·       Infection from external sources like balanitis can also lead to the same condition.

·       Forcefully pulling or stretching the foreskin can cause tiny tears in the foreskin, which can cause inflammation and swelling. Ultimately, this would lead to phimosis. This is common among young boys who engage in excess masturbation.

·       Certain trauma, like getting hit in the penis, can lead to the formation of scar tissue in the foreskin which might prevent retraction.

·       In old men, aging is also a factor. With age, all skin starts contracting on the body – including the foreskin. If a person does not get frequent erections, the foreskin could eventually become too tight to retract.

·       Certain medical conditions like diabetes make a person more vulnerable to infections that might lead to phimosis.

Symptoms

It is easy to recognize phimosis, especially for adult males, since it is an external physical condition. Some symptoms caused by phimosis are:

  • Difficulty during urinating. The foreskin might swell like a balloon during urination. In case of injury or infection, there might also be fluid (blood or pus) in the urine.
  • There might be frequent pain in the foreskin, especially if you touch it.
  • Having sex or masturbating might be painful. Sometimes, simply getting an erection also causes pain

Risks and Prevention of Phimosis

If phimosis is left untreated, it can have the following risks, or have treatment at phimosis treatment centre delhi

  • Frequent infections like urinary tract infections.
  • Increased chances of getting penile cancer.
  • Increased swelling which can eventually lead to serious conditions like gangrene.
  • In the worst cases, the penis might have to be removed or the condition could turn fatal.

In case you don’t have phimosis and want to prevent having one, there are simple precautions:

  • Pay focus on penile hygiene. Regularly wash the penis and the foreskin. Keep the foreskin dry, especially after washing it or after ejaculation.
  • Be gentle while pulling the foreskin back, like during urination or before sex. Pull it down after you are finished.

Phimosis Treatment

A simple physical examination and case history is enough for the doctor to diagnose if you are suffering from phimosis. If the cause of phimosis is an infection, the doctor will usually take a swab of the foreskin and investigate it. Depending on whether the infection is bacterial or fungal, appropriate medications would be prescribed. In mild cases of naturally-occurring phimosis, a topical steroid ointment is the first course of action. Some examples of these include cortisone and betamethasone. The patient is asked to apply the ointment multiple times a day for some weeks. The ointments gradually loosen the foreskin until it becomes easy to retract it without any issues.

In more severe cases, surgical options can be opted for. A dorsal slit or superincision makes a single incision on the upper part of the foreskin, thus making it easier to retract without removing any foreskin. A ventral slit or subincision does the same, but at the lower length of the foreskin. It is usually performed when the frenulum – the band that connects the foreskin to the penis – is also shorter than normal, treatment done at phimosis treatment centre delhi.

Circumcision is the more common surgical option to treat phimosis. It removes the entire foreskin, thus eliminating the root cause of phimosis. It is usually preferred for younger boys as it is easier for them to recover, however adults could also opt for it.

 

Paraphimosis

Paraphimosis is a special case of phimosis when the foreskin stays in its retracted position and cannot be pulled back. It usually occurs when the foreskin becomes swollen. This might happen due to infections, piercings, or during sex. Paraphimosis is a more severe condition as it can restrict the blood flow in the penis.

The treatment for paraphimosis is similar to phimosis. Ointments can help in reducing the swelling. Sometimes, doctors might pierce needles to eject the fluids and reduce swelling. In case nothing else works, circumcision can again be a permanent solution of phimosis at phimosis treatment centre delhi.

 

Recovery

In the case of non-surgical treatment, the recovery is immediate. In the case of surgical treatment like circumcision, the patient might take few weeks to get back to normal. During that time, it is normal to feel some pain in the penile area. It is advisable to not engage in sexual intercourse during the recovery.

Phimosis might be a painful condition in severe cases, but it is entirely treatable. If the patients have proper penile hygiene after the treatment, they are very unlikely to face any issues in the future. Seeking help at the right time can lead you to a better life, but look at phimosis treatment centre delhi

Phimosis Treatment Centre Delhi