About 95 % of patients with hypospadias have incomplete prepuce (I.e. foreskin above and no foreskin below). Prof. Hadidi prefers to wait 6 months after hypospadias correction to make sure that everything has healed well without complications before operatng on the foreskin.
There are two possibilities:
The first is to perform foreskin reconstruction. About 70 % of parents in Germany, Austria and Switzerland and almost 90 % of parents in Southern Europe (Spain, Italy and Greece) prefer foreskin reconstruction. The other possibility is to perform circumcision. This is usually the case among Jews and Moslems and 30 % of Paretns in Germany, Austria and Switzerland.
Either operation takes about 30 min. The complications are more or less the same. Each has advantages and disadvantages. The final decision has to be taken by the parents. During the second operation, Professor Hadidi examines the new urethra to ensure that it is wide enough with no complications and makes fine adjustment of the glans and meatus as well as the foreskin.
61. Why should not my son have the forskin reconstructed at the same operation with the hypospadias correction?
Foreskin was reconstructed during hypospadias-correction. By pulling back the foreskin you can see that the opening of the meatus is still at the origin place.
62. Why you do not recommend that my son be circumcised during the hypospadias operation?
63. What are the precautions after the foreskin operation?
It is very important to avoid retraction of the foreskin for at least one month after surgery. Otherwise the whole operation would fail and the wound would disrupt completely. This should not be done neither by the parents nor by the pediatrician looking after the child later on.
copyright Prof. Hadidi 2012