Hypospadias Surgery and Treatment
Hypospadias is a medical condition when the meatus (hole) is not present at the tip of a penis. This is a common birth defect in up to one in every 200 boys.
The meatus is usually present near the end (distal position) of a penis. In some people, it may be found in the centre of the penile shaft to penis’ base or within the scrotum (at the proximal position).
More than 80% of boys with this medical problem have distal hypospadias. On the other hand, only 15% of cases are of the “chordee” condition, where the penis curves slightly downward. When the meatus (hole) opens down the shaft, its curvature is found in more than 50% of the patients.
In hypospadias, the meatus opening of the urethra is found on the penis’ underside instead of its tip. However, in many cases, this opening of the urethra is also found within the penis’ head. Less than often, this meatus opening is also found at the centre or base of a penis. Rarely, this opening is beneath or within the scrotum.
The common signs and symptoms of hypospadias are:
- Downward curved penis (chordee)
- The urethral opening is located at other areas than the tip of the penis
- Penis has a hooded appearance due to its top half being covered by the foreskin
- Abnormal spraying at the time of urination
Hypospadias is a congenital medical condition. This means that it occurs when the baby is developing in the mother’s womb. When the foetus begins to grow, the tissue on the penis’ underside is not completely closed, hence shortens the passageway. In most cases, the foreskin of the penis also covers the penis glans or tip. This results in extra foreskin formation on the top of the penis and not the underside.
Hypospadias has nothing to do with the negligence of parents before or during pregnancy. According to the researchers, however, this condition is known to run in families. Hypospadias is more common in boys whose father or male sibling also had the same condition.
What if hypospadias is not treated?
The risk factors of this condition are associated with the following:
- Family history: It occurs more often in infants with a usual family history of hypospadias.
- Genetics: Some gene variations can also play a major role in hormonal disruption that further stimulates the development of male genitals.
- Maternal age over 35: As per some studies, there can be a higher risk of hypospadias in male infants born to women who are older than 35 years.
- Exposure to certain substances when pregnant: There are certain speculations associated with hypospadias and the mother’s exposure to some hormones or compounds like industrial chemicals or pesticides.
Hypospadias can be treated only with surgery. It is recommended to perform these operations between the age of 6 and 15 months after birth when the psychological effects of genital surgery are minimal.
At SCI Hospital, hypospadias repair treatment is done on an outpatient basis. This also minimises the separation of the child from parents while making the procedure quite affordable. Usually, we perform the repair operation within one to three hours at our outpatient surgery center.
The major aim of this surgical correction is reconstructing the straight penis with the urethral opening as closer to the penis’ tip as possible.
Surgery can usually correct hypospadias. Our medical team may suggest surgery to:
Make the urethral opening at the penis’ tip. It enables patients to have a controlled stream of urine when standing.
Straighten the penis (if it’s curved) for minimising the risk of painful intercourse in later life.
Straighten penis during erection and similar appearance as that of the circumcised penis.
Reconstructive surgery is performed under the influence of general anaesthesia when the child is asleep. Usually, the child is admitted, as well as discharged, on the same day. More than half of these cases are too complicated to repair and the surgical procedure requires a catheter to be left within the bladder for draining urine for around 7 to 10 days.
For more information on the childcare after surgery, you must consult our reconstructive surgeon who specialises in this surgical treatment.
Best Hospital for Hypospadias Treatment
SCI Hospital is one of the leading day-care healthcare centres for Hypospadias Surgery that does not involve leaving a child with a catheter. Our advanced medical treatments ensure that your hospital stay is reduced to prevent additional stress to a child due to the catheter that causes considerable pain and discomfort.
At SCI Hospital, under the guidance of Dr.Gautam Banga and Dr. Ashwani Kumar, we offer advanced surgical treatment for Hypospadias. We ensure that the hypospadias patient is discharged on the same day or the next day. This has been made possible due to the advancement in the surgical repair techniques, ensuring successful repairs every time.
We also provide New-born Hypospadias Repair, where an infant undergoes surgical treatment soon after birth. After the treatment, both mother and child can go home and need not visit the hospital again.
Best Hypospadias Surgeon in Delhi NCR
Dr. Gautam Banga is a leading Reconstructive Urologist & Andrologist in Delhi, NCR. He has performed hundreds of surgeries to treat patients of all ages. He specializes in different procedures like prostatectomy, hypospadias surgery, etc. with advanced techniques. Dr.Banga is a highly qualified and experienced surgeon with fellowships and training from the best national and international medical institutes. If you’re seeking hypospadias surgery for your new-born or 6 – 15 months old infant, do consult Dr.Banga for the best advice.
Dr. Gautam Banga
MBBS, MS, M.Ch (Urology)
Reconstructive Urologist & Andrologist
Dr. Vishal DuttGour
MBBS, MS, M.Ch (Urology)
Urologist and Andrologist
Dr Rahul Popli
MBBS,MD, DNB, MNAMS
Dr. Himanshu Shekhar
MBBS, MD (Medicine) Medical Director
MBBS MRCGP (INT) DMS