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Rengga Pradipta
1201-1211-0146
Preface
Hypospadias refers to incomplete
urethral development that results in a
meatus located anywhere from the
proximal glans to the perineum.
Short urethra
Urethral meatus is formed along the
shaft (shaft) of the penis, from the
glans to the rectum, even in the
perineum.
ETIOLOGY
Genetic
Estrogen and androgen deficiency
-Reduced androgen hormone decreased
production dehidrotestosterone (DHT) which is
influenced by 5 reductase, this hormone
plays a role in the formation of phallus and
urethra
-Estrogen is influenced in male external genitalia
formation
Industrial waste Endocrin discrupting
chemicals The anti-androgenic properties :
polychlorobiphenyls, dioxins, furans,
peptisidaorganochlorin, alkilphenol
polyethoxsylates
andphtalites
symptoms
difficulty in regulating the flow of urine
(when urinating).
causing the patient should be in a
sitting position when micturition
sexual disturbances
PE
(OUE) was not in the end of the
glands penis
Preputium piled in the back.
if the penis had curvature (curved)
when erect, it can be concluded the
chordae, The fibrous tissue that
stretches up to the glans penis.
Management
Straighten a complete penis
Putting meatus at the tip of the
glans.
Forming a symmetrical glans and
diameter of the urethra.
Perform a complete skin closure.
Correct anatomic abnormalities
Complication
Bleeding
Infection
Fistule
Stricture
Diverticulitis
Retrusive Meatus
persistent chordae
Complications of Multiple Recurrences
Reproductive / Sex
Thank you