What are Hypospadias?

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Hypospadias is a birth condition in which the opening of the urethra (the tube that carries urine out of the body) is not located at the tip of the penis. Instead, the opening may be present on the underside of the penis, along the shaft, or near the scrotum. This abnormal position can cause problems such as an unusual urine stream, downward curvature of the penis, or incomplete foreskin development.

Doctors often suggest treatment for hypospadias to address the issue and restore normal function to the penis. The standard method is hypospadias surgery, or hypospadias repair, which involves reconstructing the urethra and repositioning the urinary opening to the penis’s tip. This surgery also aims to straighten the penis, thereby enhancing both urination and future sexual performance.Hypospadias, a common birth defect in boys, usually leads to good long-term results with early diagnosis and proper treatment.

When is Hypospadias Surgery Required?

Doctors recommend hypospadias surgery when the condition affects urination, the shape of the penis, or may cause problems later in life. The goal of hypospadias treatment is to correct the urethral opening, allow normal urine flow, and support proper penile function.

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Hypospadias surgery may be required in the following situations:

  • Difficulty urinating: When the urethral opening is not at the tip of the penis, passing urine can become difficult for the child.
  • Abnormal urine stream: The urine stream may spray, split, or flow downward instead of straight, making it hard to urinate while standing.
  • Penile curvature (Chordee): Some children with hypospadias have a downward bend of the penis. This condition, known as chordee, may cause problems during erections if not corrected.
  • Risk of sexual dysfunction later in life: Severe hypospadias and penile curvature may lead to difficulties during sexual activity in adulthood if left untreated.

Because of these concerns, doctors often advise hypospadias surgery at an early age. Proper hypospadias treatment helps correct the position of the urethral opening, straighten the penis, and improve both urinary function and future sexual health.

Symptoms of Urethral Stricture

The urethral stricture symptoms usually start gradually and may become worse over time. The most common signs include slow or weak urine flow and pain or burning during urination. Patients may also experience difficulty starting urine, straining, or feeling that the bladder is not completely empty. If left untreated, it can lead to infections and other urinary complications.

Urethral Stricture in Males

In men, urethral stricture can cause some specific symptoms. These may include spraying or split urine stream, blood in semen, and pain in the testicles. Some men may also notice decreased urine flow along with discomfort during ejaculation.

Urethral Stricture Female Symptoms

Urethral stricture female symptoms are less common but can still be troubling. Women may experience frequent urinary tract infections (UTIs), sudden urgency to pass urine, or even urine leakage (incontinence). Pain localized to the pelvic area and difficulty in passing urine may also be present. Early diagnosis helps prevent long-term complications.

Types of Hypospadias

The type of hypospadias repair surgery recommended depends on the position of the urethral opening, the severity of the condition, and the presence of penile curvature. Surgeons choose the most suitable technique to create a normal urethral opening at the tip of the penis and ensure proper function. Some cases can be corrected in a single procedure, while more complex cases may require staged surgery.

1. Single Stage Repair

In this method, the entire hypospadias repair surgery is completed in one operation. The surgeon reconstructs the urethra, moves the opening to the tip of the penis, and corrects any mild curvature. This approach is commonly used for mild to moderate hypospadias.

2. Two Stage Repair

For more severe forms of hypospadias, surgeons may perform the repair in two separate operations. In the first stage, the penis is straightened and tissues are prepared for reconstruction. In the second stage, the urethra is rebuilt and the opening is placed at the tip of the penis.

3. TIP Repair (Snodgrass Technique)

The TIP repair, also known as the Snodgrass technique, is one of the most commonly used methods of hypospadias repair surgery. In this procedure, the surgeon reshapes and extends the existing urethral plate to create a new urethra that opens at the tip of the penis.

4. Graft or Flap Repair

In complex cases where there is not enough tissue to reconstruct the urethra, surgeons may use tissue grafts or flaps. Tissue can be taken from nearby skin or other areas of the body to help build a new urethra and complete the hypospadias repair surgery successfully.

Hypospadias Surgery Steps

The hypospadias surgery steps involve careful evaluation, surgical correction, and reconstruction of the urethra to restore normal function. The procedure is usually performed by a pediatric urologist in Indore and is planned according to the severity of the condition.

1. Pre-Surgery Evaluation

Before surgery, the doctor performs a detailed physical examination to check the position of the urethral opening, the degree of penile curvature, and the condition of the foreskin. In some cases, the child may be given testosterone injections before surgery. This helps increase tissue size and improves the success of the repair.

2. Surgical Procedure

During the operation, several important steps may be performed depending on the child’s condition:

  • Urethroplasty: Reconstruction of the urethra to create a new channel so that urine can pass through the tip of the penis.
  • Meatoplasty: Creation of a normal-looking urethral opening (meatus) at the tip of the penis.
  • Scrotoplasty: Correction or reconstruction of the scrotal area if there are associated abnormalities.

3. One-Stage or Two-Stage Repair

The surgeon decides whether the repair can be completed in one surgery or requires two stages.

  • One-stage repair: The entire correction is completed in a single operation, usually in mild to moderate cases.
  • Two-stage repair: More severe cases may require two surgeries. The first surgery prepares and straightens the penis, while the second surgery reconstructs the urethra.

4. Duration of Surgery

Most procedures involved in the hypospadias surgery steps take about 1 to 3 hours, depending on the complexity of the condition and the surgical technique used.

Hypospadias Surgery Risks & Potential Complications


Like any surgical procedure, hypospadias surgery may have some risks. However, when performed by an experienced surgeon, the procedure is generally safe and the success rate is high. Most children recover well after treatment. Understanding possible hypospadias surgery side effects helps parents stay prepared and follow proper post-surgery care.


Potential Complications

Although uncommon, some complications may occur in certain cases:

  • Urethrocutaneous Fistula: This is the most common complication after hypospadias repair. It is a small opening between the urethra and the skin that may cause urine leakage from a different spot. In some cases, it may require another minor surgical correction.

  • Urethral Stricture: This occurs when the reconstructed urethra becomes narrow, making it difficult for urine to pass normally. Additional treatment may be needed to correct the narrowing.

  • Diverticulum: In rare cases, a small pouch or bulge can form in the urethra. This may affect the urine stream and might need surgical correction.

 

Cost of Hypospadias Surgery

Choosing an experienced urologist and following post-operative care instructions can significantly reduce the chances of these hypospadias surgery side effects.

The hypospadias surgery cost can vary depending on several medical and hospital-related factors. Since the condition can range from mild to complex, the total cost may differ from patient to patient.

Factors That Affect Hypospadias Surgery Cost

  • Severity of the condition: More complex cases may require advanced surgical techniques and longer operating time.
  • Type of hospital: Treatment costs may vary between government hospitals, private hospitals, and specialized centers.
  • Surgeon’s experience: Highly experienced urologists or pediatric urologists may charge higher surgical fees due to their expertise.
  • One-stage vs two-stage surgery: Complex cases that require two surgeries generally increase the overall treatment cost.
  • Post-surgery care: Hospital stay, medications, and follow-up visits can also influence the total cost.


In India, the hypospadias surgery cost typically ranges between ₹30,000 and ₹2,60,000, depending on the severity of the condition and the complexity of the surgical repair.

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Common or Temporary Side Effects

These effects are usually mild and improve within a few days to weeks after surgery.

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Mild Swelling around Pelvic Region

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Bruising may happen, but will fade with time

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Minor spotting may occur in the first few days after surgery.

Why Choose Dr Vipin Sharma for Hypospadias Surgery Treatment in Indore?

Choosing the right surgeon plays an important role in achieving successful results from hypospadias surgery repair.Dr. Vipin Sharma, a highly experienced urology doctor in Indore, is known for providing advanced and patient-focused care for various urological conditions, including hypospadias.

Dr. Vipin  has successfully performed numerous hypospadias surgery repair procedures with excellent outcomes. His experience in reconstructive urology helps ensure precise correction and better long-term results. With specialized expertise in hypospadias surgery treatment in Indore, he carefully evaluates each case and selects the most suitable surgical technique. He follows modern surgical techniques and evidence-based practices to ensure safer procedures, faster recovery, and improved functional outcomes for children undergoing hypospadias repair.

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Frequently Ask Question

The best age for hypospadias surgery is usually between 6 months and 18 months. At this age, healing is faster and the success rate of the procedure is higher. Early hypospadias treatment also helps ensure normal urination and penile development.

In most cases, successful hypospadias surgery repair does not affect fertility. The surgery corrects the position of the urethral opening and straightens the penis. This helps maintain normal urinary and reproductive function later in life.

The surgery is performed under general anesthesia, so the child does not feel pain during the procedure. Mild discomfort or swelling may occur after surgery, but it is usually controlled with medications. Most children recover well within a short time.

Possible hypospadias surgery side effects include swelling, bruising, urethrocutaneous fistula, or urethral narrowing. These complications are uncommon and can often be treated if they occur. Choosing an experienced surgeon helps reduce these risks.

The hypospadias surgery cost in India generally ranges from ₹30,000 to ₹2,60,000 depending on the severity of the condition. The cost may vary based on the hospital, surgeon’s experience, and whether one-stage or two-stage surgery is required. Consulting a specialist helps determine the exact cost for the case.

If your child has symptoms of hypospadias or difficulty with urination, early diagnosis and treatment are important. Consult Dr. Vipin Sharma, an experienced urologist, for expert hypospadias treatment and hypospadias surgery in Indore. Book a consultation today to discuss the best treatment options and ensure the best possible outcome for your child.

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