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Hypospadias Treatment

Hypospadias is a congenital defect in boys wherein the urethral opening is not in line with the tip of the penis and is formed anywhere just below the penis end to the scrotum. This occurs because of the unusual formation of the urethra of the baby boy at the time of 8-14 months of pregnancy. There are varying extents of this birth defect: some minor while some major. Depending upon the site of the opening of the urethra in a baby boy, there are three types of hypospadias- Subcoronal (near the head of the penis), Midshaft (along the penile shaft), and Penoscrotal (at the site of the meeting of penis and scrotum).

Baby boys having Hypospadias can sometimes experience curving of their penis. That could make them experience problems with abnormal spraying of urine and so make them sit and urinate. In some boys, the testicles may not be completely descended into the scrotum. Hypospadias is thought to be the result of genetic factors or the impact of environment on mother, medications intake, and consumption of food and drinks by the mother, during her pregnancy.

The risk of having hypospadias is more when the mother experiences certain hormonal fluctuations such as insufficient production of testosterone or failure of the body to respond to testosterone. If Hypospadias is left untreated, many problems could arise later in life such as difficulty urinating while standing and trouble in sex life. The Hypospadias Repair Procedures in Hyderabad depends upon its type. Hypospadias is always surgically repaired.

Arete Hospitals is one of the best hospitals for comprehensive, top-quality care of urological conditions in Hyderabad. The hospital is well known to house state-of-the-art technologies and staff leading Paediatric Urologists in Hyderabad. Hypospadias repair is one of the specialities of the urology department at Arete Hospitals performed by a specialised team of paediatric healthcare providers including urologists, anaesthesiologists, and nurses.

Benefits of Hypospadias Repair Surgery

Hypospadias repair offers the following advantages:

  • Straightened penis of the child
  • Reconstruction of the urethra to the penis tip of the child to allow the baby boy to normally urinate and ejaculate semen
  • Better appearance of the child’s penis.

What is Hypospadias Repair Surgery?

Hypospadias repair is a major operation performed by urologists to correct the positioning of the urethra on the child’s penis. Depending upon the severity of hypospadias, it is a one or two-stage procedure. For a child with mild hypospadias, a single hypospadias repair surgery is the only solution. In the case of a child with penoscrotal hypospadias, two-stage hypospadias repair would be required. This involves two surgeries performed usually in a gap of 6 months. For this procedure, the Hypospadias Repairs Doctors in Hyderabad may take mouth skin as a graft from the child’s mouth to create a new urethra.

Before Hypospadias Repair Surgery

The baby boy diagnosed with hypospadias is taken to Hypospadias Treatment Doctors in Hyderabad who would:

  • Evaluate the general health of the child and take vitals
  • Perform a physical examination of the child’s penis to locate the opening of the child’s penis and check for penile curvature
  • Ask questions regarding the flow of urine of a child
  • Perform a urethrogram or cystoscopy, if necessary, to find any blockages in the child’s urethra
  • Prescribe for medications including testosterone injections in severe cases
  • Provide details of the procedure and give specific directions on when to feed the child before the operation.

What Does Hypospadias Repair Involve?

  • Firstly, a paediatric anesthesiologist sedates the patient with general anaesthesia to ensure his comfort throughout his surgery.
  • Once the patient falls asleep, the Best Hypospadias Repair Surgery Doctors in Hyderabad use a scalpel to remove a section of the foreskin of the patient. Foreskin is the piece of skin that covers the head of the penis. It is used by the doctor to create a tube and attach it to the urethra of the patient to make the urethra longer. A longer urethra allows the paediatric urologist to move the meatus to the tip of the child’s penis.
  • Mostly, the doctor inserts a urethral stent in the patient’s urethra to maintain its shape as it heals and even helps in urine drainage. This stent is kept in place for up to 14 days following the hypospadias repair.

A doctor may even perform other repair procedures, including:

  • Urethroplasty- It helps in rebuilding of a child's urethra so that the baby boy can pass urine or semen as far as possible in the forward direction.
  • Meatoplasty (opening of the glans)- In this surgical repair, the paediatric urologist creates a new opening to the urethra and reconstructs the penis glans to accommodate the new opening of the urethra.
  • Scrotoplasty- It is performed to repair the defects of the scrotum of the child.

At last, the Hypospadias Specialist Doctor in Hyderabad, India closes all incisions with sutures that can dissolve within 2 weeks.

Good Candidates for Hypospadias Repair

  • Baby boy aged between 3 to 18 months and diagnosed with hypospadias condition. Typically, hypospadias repair is recommended between 6 months to 2 years after birth.  
  • Baby boy with hypospadias who had not undergone circumcision.

After Discharge

The parent or caretaker of a child at home must follow these post-surgery instructions:

  • Keep the child’s penis and other surrounding structures to prevent infections.
  • Handle surgical dressings of children with clean, hygienic hands.
  • If urine or poop gets on the child’s bandages, gently clean the bandages with warm water and soap and pat dry the area.
  • Frequently change the child’s diaper.
  • Do not allow infants or toddler patients to swim or play in dirt, sand, or mud until fully recovered. Older children must avoid riding bicycles, playing contact sports, or any other physical play for at least 3 weeks.
  • Do not send a child to school or daycare for at least a week until the stent is removed.

Hypospadias Surgery Cost in Hyderabad, India

The price of Hypospadias repair may vary for every case. It depends upon different factors, including:

  • The surgeon’s expertise and experience
  • The surgical technique
  • The type of hypospadias or its severity
  • Anaesthesiologist charges
  • Pre-hypospadias tests costs
  • Post-repair follow-up visits charges.

As Hypospadias is a birth defect, its cost of repair is generally not covered by most insurance companies. Contact Pediatric Surgeon for Hypospadias Repair in Hyderabad at Arete Hospitals for more details.

Effectiveness of Hypospadias Repair Surgery

Hypospadias repair has a high success rate. Most hypospadias repair in baby boys lasts lifelong and allows the baby’s penis to normally and healthily function. Contact Hypospadias Doctor in Hyderabad at Arete Hospitals to learn more on the effectiveness of the treatment in detail.

Some of the potential risks of undergoing Hypospadias repair include:

  • Anaesthesia-related problems
  • Bruising
  • Swelling
  • Infection
  • Healing issues
  • Hematoma- the formation of a mass of clotted blood
  • Unfavourable scarring or scaring changing sensations.

Following hypospadias repair, the risks that may be involved are:

  • Breakdown of wounds
  • Narrowing of the urethra- urethral structures
  • Urethrocutaneous fistula
  • Urethral diverticulum
  • Shortening of the penis
  • Recurrent curving of the penis.

Other possible complications of Hypospadias repair include: 

  • Sexual discomfort
  • Testicular pain or pain in the sides of the lower back
  • Poor urine stream or painful urination
  • Hard spots or lumps form on the penis
  • Urinary tract infections.

Contact the experts at Arete Hospitals to get the Best Hypospadias Treatment Doctors in Hyderabad provided by expert medical professionals.

Frequently Asked Questions

1. How lengthy is the Hypospadias repair procedure?

The surgery lasts for about 2-3 hours.

2. Who is at high risk of having a baby boy with hypospadias?

Mother aged 35 or older and obese. Women who have used assisted reproductive technology to aid in getting pregnant. Women who have been on certain hormonal medications or therapy before or during their pregnancy

3. What is the recovery time for Hypospadias repair?

Every child's body is unique, so the length of the recovery period varies from one patient to another. Generally, the patient can expect to get relief from swelling and bruising within about 2 weeks of surgery. Many children fully recover in about 6 weeks.

4. Will my child require another surgery?

In most cases, hypospadias condition can be repaired by a single surgery. However, there might be cases wherein the baby boy would need another surgery to address surgical complications following the first operation.

5. Which type of hypospadias is most challenging to repair?

Distal hypospadias repair can be very difficult because of the poor quality of the child’s urethral plate, small glans size, possible ventral curvature of the child’s penis, and proximal spongiosal hypoplasia.

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