Doctor Cao Vinh Duy, from the Department of Urology, Center for Urology - Nephrology - Andrology, Tam Anh General Hospital, TP HCM, stated that the patient's urethral opening (where urine and semen exit) was not located at the tip of the glans but had receded down the penile shaft, with a diameter of about 2 mm (normally 5-10 mm). This condition caused Hung to experience difficult urination, a weak urine stream, urinary retention, and an increased risk of urinary tract infections.

The patient suffered from congenital hypospadias and had undergone urethral reconstructive surgery at 5 years old. Doctor Duy suggested that due to the severe nature of his condition, the patient experienced complications in adulthood.

The surgical team widened the narrowed area, reconstructed the urethral opening to a diameter of about 10 mm, and performed glans plasty to restore its natural shape. Post-surgery, the patient recovered quickly, the incision was painless, and he was discharged after 4 days.

Doctor Duy (left) performs surgery on Hung. Photo: Tam Anh General Hospital.

Doctor Duy (left) performs surgery on Hung. Photo: Tam Anh General Hospital.

Doctor Duy advised that males with urethral opening defects should undergo reconstructive surgery when young to prevent complications and psychological impact in adulthood. Even those who have had urethral reconstruction surgery in childhood are still at risk of recurrent stricture and require long-term monitoring. When symptoms such as difficult urination, a weak urine stream, a small urethral opening, or glans deformity appear, males should visit a hospital for timely examination and treatment.

Ha Thanh

* The patient's name has been changed.