There is no reason for pessimism and despair.
It is difficult to write and talk about congenital defects of the genital organs in men. Not accepted. Men always want to be men and, of course, they will not spread about shortcomings in the most intimate sphere of their bodies. And if a reconstructive surgery was not done in a timely manner to a child with a developmental defect. a teenager or a young man will keep his fateful secret in himself until he speaks imperiously to the male nature or the attentive doctor of the teenage cabinet, at a registration or recruiting station, not being satisfied with the usual answer of the young man:
And what kind of young man will immediately say that “there” he is not all right? And he lives like this until he becomes quite an adult, when he faces a sexual question about which, for some reason, it is customary to remain shamefully silent. As if it does not happen at all. And he is. In situations that will be discussed today, he becomes so acute that sometimes he throws patients under the train or pushes him on a different way of calculating life.
After all, people do not always know about the possibilities of reconstructive surgery, and the prospect of being forever without a family, never to be a full-fledged man is really depressing.
Other birth defects are lucky. On the correction of congenital heart defects write newspapers and magazines, withdraw; dozens of films, fame accompanies cardiological surgeons. Everything is also clear with birth defects of the face: correct it immediately, no one will hide them, and the doctors and patients know all this. The same can be said about hand and foot defects. How much is written about orthopedists, correcting, lengthening arms and legs Envy Takes.
And issues related to sexuality are still “behind the closed door.” We are either afraid of them, or underestimate them, or shy … But the statistics is relentless. The frequency of birth defects of the penis that violate, and often exclude sex life is great. For every 1,000 boys born, there are at least 4 to 5 with penile defects. (I’m not talking about such relatively “harmless” defects of the genital organs as not testicular prolapse, narrow foreskin, various cysts, they are significantly more.) Parents of these children, and then The young men themselves should know that modern urology has sufficiently reliable methods for correcting birth defects, therefore there should be no place for hopeless pessimism and despair.
The most frequent defects of the genital organs in men are hypospadias and epispadias. I will briefly describe their signs and manifestations so that parents know in which cases it is urgent to show the child to the surgeon or urologist.
HYPOSPADIA – splitting of the lower wall of the urethra (urethra) and curvature of the penis. The degree of splitting of the urethra may be different – from the head of the penis to the perineum. Accordingly, the external opening of the urethra can open on the lower surface of the head, on the penis, scrotum and perineum (hypospadias of the head, penis, scrotal and perineal). The abnormal location of the external opening of the urethra disrupts urination, causes a lot of inconvenience, boys sometimes have to urinate “in the female type” – squatting. In hypospadias of the head, the external opening of the urethra is often narrowed. which makes it very difficult to urinate and can cause severe kidney and bladder diseases.
A manifestation of hypospadias is the curvature of the penis down. The degree of curvature also varies. Perhaps, for example, only the head is curved, which, although it violates, but does not exclude, sex life. In severe forms of hypospadias (scrotal and perineal), curvature, and sometimes underdevelopment of the penis, makes sex life impossible. Naturally, in children, the main complaints are associated with impaired urination. The boy can not urinate the same way as his peers. Among young people and adults, complaints about violation or impossibility of sexual life come to the fore. Both that, and another is hard reflected on a neuropsychic condition, causing a depression, an inferiority complex.
The only effective way to get rid of the defect is a reconstructive operation, which is carried out in several stages.