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Paediatric Genital Reconstructive Surgery in Bhubaneswar

Paediatric Genital Reconstructive Surgery

Paediatric Genital Reconstructive Surgery in Bhubaneswar

Paediatric Genital Reconstruction Surgery repairs injuries or congenital abnormalities that damage a child's genitalia. The goal of procedures is to restore normal function and appearance by correcting anomalies like hypospadias or ambiguous genitalia. Surgical procedures are customised to the individual requirements of each child and may include reconstruction of the genitalia, the urethra, or both. 

 

Pre-procedure 

Paediatric Genital Reconstructive Surgery pre-procedure entails a comprehensive assessment and counselling of the child and family, which includes an examination of the objectives, risks, and expected outcomes of the surgery. In addition, proper preoperative planning and medical evaluations are carried out.

 

Procedure:

Paediatric Genital Reconstructive Surgery must be carefully planned and carried out under the particular needs of every child. Surgical reconstruction of the urethra, genitalia, or both is often used to address anomalies such as hypospadias or ambiguous genitalia. To assure both functional and cosmetic results, surgeons may employ procedures including Tissue Grafting, Urethral Tube Implantation, or Genital Reconstruction. Close collaboration between paediatric urologists, plastic surgeons, and other specialists is necessary for thorough treatment and the best outcomes. 

 

Post-procedure: 

Some of the post-procedure instructions to be followed are: 

  • Keeping the area clean and dry

  • Use a little soap and water to clean the surgery site

  • Avoiding strenuous activities 

  • Taking painkillers as prescribed

  • Followup with your doctors and schedule your follow-up appointments

FAQ's

Paediatric Genital Reconstructive Surgery is used to address the following conditions:

  • Hypospadias: An abnormal positioning of the urethral aperture on the penis' underside

  • Ambiguous genitalia: Genitalia that are unusual or unclear from birth

  • Disorders of sexual differentiation: Conditions in which the development of the genitalia deviates from the typical anatomy of the male or female

  • Injury or damage to the genitalia

Hypospadias is a congenital condition where the opening of the urethra is situated on the underside of the penis rather than on the tip. The urethral opening can be located anywhere along the underside of the penis, occasionally extending to the scrotum or perineum. The severity of this deformity varies. Hypospadias may need to be surgically corrected to improve urinary function and restore a normal appearance, which can affect urination.

Hypospadias can be treated surgically (hypospadias correction). The majority of paediatric urologists will operate on your child between the ages of six and twelve months to correct hypospadias. After the operation, caring for the surgical site is simple at that age. A youngster under general anaesthesia is also safer.

Surgery can take several hours to complete and is often an outpatient procedure. Healthcare professionals may need to treat hypospadias in phases, particularly if it is more severe.

The paediatric urologist doing the hypospadias repair will:

  • Adjust the penis's curvature and straighten it.

  • Complete the "tube" by reconstructing the urethra. This will produce a urethral orifice close to the penis' tip.

  • Perform a circumcision and reconstruct the residual penis skin

Ambiguous genitalia is a rare condition in which an infant's external genitals don't appear to be either male or female. A newborn with ambiguous genitalia may have features from both sexes, or its genitals may be underdeveloped. 

Ambiguous genitalia are a defect of sex development rather than a medical condition. Usually visible at birth or soon after, ambiguous genitalia can cause great distress to families. In addition to determining the cause of ambiguous genitalia, your medical team will offer guidance and information to help you make decisions regarding the gender of your unborn child and any required medical treatment.

Finding the reason for unusual genitalia is the first step in management. Next, based on the findings of various tests and hormone tests, your baby's doctor will create a sex assignment and treatment plan.

You may receive guidance regarding the sexuality of your child and treatment from a group of medical professionals. Make sure you look for medical professionals who specialise in this field. Treatment is based on a variety of variables, such as:

  • What is causing the problem with your infant?

  • How does your child's genitalia look?

  • The cultural values and preferences of your family

Possible courses of treatment options include:

  • Hormone Replacement Treatment (HRT): By itself, Hormone Therapy may be able to address an imbalance in hormone levels.
  • Reconstructive surgery: While your child is still a newborn, the medical staff may recommend surgery in conjunction with you. However, there is debate regarding reconstructive surgery for unusual genitalia. However, some parents decide not to have surgery done until their child is old enough to make that decision for themselves if it is mostly for appearance.

The following are risk factors for Paediatric Genital Reconstructive Surgery:

  • Surgical complications: There could be problems with wound healing, bleeding, or infection
  • Risks associated with anaesthesia: Anaesthesia can cause several adverse reactions
  • Cosmetic outcomes: It would be challenging to get the desired aesthetic results even with the best preferences
  • Functional outcomes: Normal sexual or urogenital function could not be entirely restored following surgery
  • Psychological impact: It's important to take into account the emotional toll that surgery and recovery will have, particularly on the child and family

Post-operative instructions for parents following paediatric genital reconstructive surgery may include:

  • Surgical site care: Maintain the area dry and clean, and adhere to any special wound-care guidelines

  • Medication administration: Take antibiotics and painkillers as recommended and per prescription

  • Activity limitations: Reduce physical exertion for faster healing and protect against surgery site damage

  • Follow-up appointments: Show up for planned follow-up appointments to track your recovery and resolve any issues

Complications signs: Identify and report right away any bleeding, infection, or other complications

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