Emmanuel M., 5

Emmanuel is a five-year-old boy who lives with his mother. He is social and playful, often bringing joy to those around him. His mother earns a living as a hawker, relying on a small and irregular income that is barely enough to meet their basic needs. She learned about Helpster through a medical camp organized by Barika Medical Centre in Kahawa West, which gave her an opportunity to seek support for her child’s treatment. Since birth, Emmanuel’s mother noticed an abnormality in the structure of his penis. As he grew older,has been experiencing difficulty in passing urine, and an abnormal position of the urethral opening located at the midshaft. After medical evaluation, he was diagnosed with midshaft hypospadias. The doctor recommended surgical correction and reconstruction to restore normal function and improve his quality of life.

The patient underwent complex urethroplasty with a buccal mucosal graft for mid-shaft hypospadias with chordee. The procedure included correction of the chordee/corporotomy, placement and quilting of the buccal mucosal graft on the ventral aspect of the penis, followed by haemostasis, catheter placement, cleaning, and dressing. The procedure was completed without documented complications, haemostasis was achieved, and the patient was discharged home in stable condition after 5 days. Post-operative instructions included wound care, catheter management, feeding as tolerated, and follow-up on 23 September 2026.

Emmanuel has been diagnosed with midshaft hypospadias, presenting with difficulty in urination and painful erections. He is currently stable and has been evaluated for surgical correction and reconstruction. Early surgical intervention is recommended to correct the position of the urethral opening, improve urinary function, and prevent future complications. With timely surgery and appropriate follow-up care, the prognosis is very good. Emmanuel is expected to recover well, with improved function and minimal long-term complications, allowing him to lead a normal and healthy life.