Originally Posted by vachi73
I have a friend whose 7m just had hypospadia repair, during which the baby was circ'd to provide skin to graft onto the defects.
I understand from my friend (did not do my own research) that this is the common approach to hypospadia repair ... but does anyone know of other alternatives to circ'ing for this defect? Just so that I have the info.
(FWIW, I have two intact boys, 5y and 3.5y, and am expecting twins in December, of unknown genders - any boys will also be intact! - ... so it's truly theoretical at this point
Yes, its just using the foreskin as a skin graft is common in the US for this procedure, because its seen simply as "extra skin". While in the UK, and other countries this at times may also be done, an alternative procedure is becoming the norm where they instead use skin from the inside of the mouth in the "repair" process.
I say repair in quotes because as this condition becomes more common (1 100 to 1 in 300, depending where you get your numbers) people are starting to question the purpose of the surgery in the first place. Often in situations where the urethra opens on a lower part of the head it is believed that no surgery needs to be done at all.
As a young guy born with this condition, and who had the "repair" surgery, if I could have had the choice, I dont think I would have gotten it done in the first place. Often the purpose of repairing these milder cases is solely to make the boy look "normal" in the eyes of the parents/doctors. But really, normal is what your born with, and yes it may be different, but if there are no health issues associated, then no surgery should be done because in the eyes if the child, what he has is normal.
There was a study done that talked to men with hypo who had the repair, and those who did not, and overall the men who did not have the repair as babies were more content with their bodies then men who had the surgery when they were babies. (I dont have a link to it, but it was posted on these boards) Meaning, unless there is a REAL medical need, this surgery should be avoided. Also in cases where it is needed, there is no reason to circumcise to have the operation turn successfully.