Guest guest Posted November 11, 2004 Report Share Posted November 11, 2004 Hi, Hot off of the Medscape press, a nice review article on hypospadius in the newborn. It also includes a very exentsive reference section, including research on the link between SGA and hypospadius. Here is the link: - Katy http://www.medscape.com/viewarticle/489956?src=mp [Adv Neonatal Care 4(4):206-215, 2004. © 2004 W.B. Saunders Here is one excerpt from the article: " Supporting and Educating Parents The parents of the newborn with hypospadias are likely to have many questions about the condition.[43] An opportunity for the parents to meet with the pediatric urologist should be provided as early as possible. Assure parents that they will be able to talk with a pediatric urologist, either during the hospital stay or shortly thereafter as an outpatient. The most pressing question many parents have is whether or not their infant can still be circumcised.[43] Although the circumcision will not be done during the hospital stay, as is customary, the surgical repair of hypospadias results in the appearance of a penis that has been circumcised.[43] For families who desire their child's foreskin to remain intact, the procedure can be modified to allow this. Parents can be reassured that in most cases, the atypical urethral placement does not affect urination in infants, and it does not signify an underlying problem with the bladder or kidneys.[8] In cases of more severe forms of hypospadias, such as penoscrotal or perineal hypospadias, parents can expect additional testing to rule out a problem in the androgen metabolism pathway, an androgen receptor defect, or a chromosomal abnormality. Some families will ask how hypospadias happens.[43,44] Technology- oriented families will research hypospadias on the Internet and find volumes of information about hypospadias. Some of the sites accessed may provide misinformation that could lead parents to believe they might have played a role in causing their infant's hypospadias. Reassure parents that with the possible exception of some familial cases, experts have no explanation for the precise cause of hypospadias.[9,26] " Quote Link to comment Share on other sites More sharing options...
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