Penis Aperture Way Off The Mark - Hypospadias

Dr. Larry was to do a circumcision today. He abandoned the procedure from start when he discovered that the neonate had Hypospadias. And it was the worst degree - the urethral opening, rather than being in the normal position at the tip of the penis, was instead located at the ventral (underneath) surface of the penis at the base.

I had to explain things to the confused mum when I resumed duty later that day. The child would need to do a corrective surgery at age 2 years or so.

The problem with Hypospadias isn't so much a threat to life - in fact the child is in no danger at all and wee-wees easily through the abnormal opening. The real issue is the child's ability to impregnate a woman in future. On ejaculation, the semen must be deposited way up the vagina for a good chance of conception. You can therefore imagine now the problem. In Hypospadias, the semen tends to be deposited mid-level and below, greatly limiting the possibility of impregnation.

Comments

Post a Comment

Say something... Anything!... I'll shout right back at you inside 24 hours.

Popular posts from this blog

Sudden Unconsciousness - No Head Scans Available

You know when a medical emergency has arrived when the noise of several heavy, clumsy feet grow louder and louder towards you. So it was, as I sat in my consulting room three days ago, when this young man was rushed in semi-conscious. The accompanying elder sister calmly narrated how they had both eaten lunch at home before setting out on their journey to a popular open market quite close to the hospital where I work - when he began complaining of feeling ill; later leaning over on a stall just before passing-out on the ground. He was "drowsy" but rousable when I called out his name. I pondered what the diagnosis could be as the nurse gave the steroid (Hydrocortisone 200mg) shot through the i.v. line secured - no recent fever or complaints of ill-health whatsoever nor was there any history of Seizure Disorders. Then the fact came forward that he fell backward and hit his head while shooting basket ball hoops at home - but that was four days ago and he then didn't appear h
Read more

Vanishing Testes... Uterine Evacuation

I was mad with the father of a 10-year old whose child proved to have both his scrotal sacs empty - a case of bilateral Congenital Undescended Testes. The point is both parents had known for years the condition and were hoping against all hope that one day the testes would appear, never once thinking to seek medical advice. The poor young chap would have to visit the Paediatrics Surgeon soon. I'm just back from the labour room where I had to evacuate the womb of this married lady who began to bleed just a week after finding out she was in early pregnancy; she being childless till date - she's had a couple of miscarriages in the recent past and a scan today proved once again the same matter of a miscarriage with some products of pregnancy retained, hence the needed evacuation. She'll need to see the Gynaecologist for a thorough check, the poor woman.
Read more

Cancer, Right Breast

I'm somewhat in-human it seems when mechanically, I go about on the job, some of the time. Or to put it more aptly, more detached from the normal feelings lay persons would feel at certain instances. This of course comes with the terrain and in spite of sometimes having short spells of feeling besides myself, it's become second nature to me. These were my fleeting thoughts as I dressed the extensively sutured wound, left behind on the chest-wall of the 54-year old, after her right breast and all of the relevant surrounding tissues had been surgically removed completely, nine days back. She would wince and cry-out softly whenever I dabbed with EUSOL gauze. For many years she had suffered cancer of the right breast up until surgery. And a radical mastectomy indeed it was, that had been the procedure at theatre - leaving no room, hopefully, for any metastasised cancer cells to remain present. Now, she was able to move her right arm with less pain since after surgery, exerci
Read more