Hypospadias Repair Surgery In Secunderabad
What is hypospadias?
Hypospadias is a malformation that affects the urethral tube and the foreskin on a male's penis. The urethra is the tube that carries urine from the bladder to the outside of the body. Hypospadias is a disorder in which the male urethral opening is not located at the tip of the penis. The urethral opening can be located anywhere along the urethra. Most commonly with hypospadias, the opening is located along the underside of the penis, near the tip.
What causes hypospadias?
Hypospadias is a congenital (present at birth) anomaly (abnormality), which means that the malformation occurs during fetal development. As the fetus develops, the urethra does not grow to its complete length. Also during fetal development, the foreskin does not develop completely, which typically leaves extra foreskin on the top side of the penis and no foreskin on the underside of the penis.
Who is affected by hypospadias?
According to pediatric neurologists:
- Hypospadias is a disorder disease of the newborn male
- Hypospadias also has a genetic component. Some fathers of males with hypospadias also have the condition.
- Prematurity and low birth weight are also considered risk factors for hypospadias.
What are the symptoms of hypospadias?
The following are the most common symptoms of hypospadias. However, each baby may experience symptoms differently. Symptoms may include:
- Abnormal appearance of foreskin and penis on exam
- Abnormal direction of the urine stream
- The end of the penis may be curved downward
The symptoms of hypospadias may resemble other conditions or medical problems. Always consult your baby's physician for a diagnosis.
What is the treatment for hypospadias?
Specific treatment for hypospadias will be determined by your baby's physician based on:
- Your baby's gestational age, overall health, and medical history
- The extent of the condition
- Your baby's tolerance for specific medications, procedures, or therapies
- Expectations for the course of the condition
- Your opinion or preference
Hypospadias can be repaired with surgery. Usually, the surgical repair is done when your baby is between 6 and 24 months when penile growth is minimal. At birth, your male child will not be able to undergo circumcision, as the extra foreskin may be needed for the surgical repair. The surgical repair can usually be done on an outpatient basis (and may require multiple surgeries depending on the severity).
If a hypospadias deformity is not repaired, the following complications may occur as your child grows and matures:
- The urine stream may be abnormal. The stream may point in the direction of the opening, or it may spread out and spray in multiple directions.
- The penis may curve as your baby grows to cause sexual dysfunction later in life.
- If the urethral opening is closer to the scrotum or perineum, your baby may have problems with fertility later in life.
Please consult your physician with any questions or concerns you may have regarding this condition.
Frequently Asked Questions
Repair is commonly planned during infancy or early childhood, often between
6 and 24 months. The timing depends on the child's condition and
hypospadias repair surgery plan.
Usually, circumcision should be avoided until a pediatric urologist
evaluates the child because the foreskin may be useful during
hypospadias reconstruction.
The aim of repair is to place the urethral opening in a more appropriate
position and improve urinary function. Results depend on the severity of
hypospadias.
Yes. If significant curvature is present, it can be assessed and corrected
as part of the surgical repair when appropriate. This is known as
chordee correction.
Not necessarily. Mild cases may be repaired in one procedure, while more
complex cases can require staged or additional
hypospadias surgery.
Recovery varies according to the repair performed. The surgeon will provide
specific instructions for wound care, activity, and follow-up after
pediatric urology surgery.
A temporary catheter or stent may be used in some repairs to support
healing and urine drainage. The need depends on the type of
hypospadias procedure performed.
In some children, significant curvature or an abnormal urinary opening
can cause later urinary or sexual difficulties. Early assessment helps
with hypospadias treatment planning.
Severe forms may sometimes be associated with reproductive or urinary
problems later in life. Proper evaluation and timely
pediatric hypospadias care can help address these concerns.
The technique depends on the position of the opening, penile curvature,
tissue availability, and severity of the condition. Treatment is planned
as personalized hypospadias surgery.