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Understanding Hypospadias Surgery

Hypospadias is a common congenital condition where the opening of the urethra is on the underside of the penis rather than at the tip. It is often accompanied by a downward bend of the penis (chordee) and an incomplete, hooded foreskin.

Causes of Hypospadias Surgery

Hypospadias occurs during the 8th to 14th week of pregnancy due to:

  • Hormonal Imbalances: A disruption in testosterone signaling that halts normal closure of the urethral tube.
  • Genetic Predisposition: Family history of hypospadias or associated endocrine syndromes.

Signs of Hypospadias Surgery

Key visual and functional signs include:

  • Underside Opening: The urethral opening is located below the tip, along the shaft, or in severe cases, near the scrotum.
  • Downward Bend (Chordee): The penis curves downward, which becomes apparent during erection.
  • Hooded Foreskin: The foreskin only develops on the top half of the glans, leaving the underside exposed.
  • Abnormal Stream: Splattering or spraying of the urinary stream, requiring the child to sit to urinate.

Advanced Care

Treatment Options

TIP (Snodgrass) Urethroplasty

The standard repair for distal hypospadias, folding the urethral plate over a catheter to form a new tube.

Orthoplasty

Surgical straightening of penile curvature by releasing tethered tissue or placing tightening stitches on the opposite side.

Redo Hypospadias Repair

Advanced revision surgery utilizing local skin flaps or buccal mucosa (inner cheek) grafts for failed prior repairs.

Clinical Path

The Surgical Process

01

Micro-dissection

Under high magnification, the skin is mobilized, and the penis is straightened to ensure a straight axis.

02

Neourethra Construction

A new urethral tube is constructed using local tissues, protected with a well-vascularized tissue cover.

03

Urinary Diversion

A small silicone tube (stent) is left in the penis for 7-10 days to allow the new urethra to heal without urine contact.

Success Stories

Hear From The Parents

"We were extremely anxious about our infant's hypospadias surgery. Dr. Sujit performed a TIP urethroplasty, and the cosmetic result is perfect. Highly skilled doctor."

Anand Verma
Father of 1yo patient

"Our son had a severe curvature (chordee) along with hypospadias. Dr. Sujit's expertise in straightening and reconstruction was exceptional. He is doing great now."

Aarti R.
Mother

"The post-operative care and double diapering technique explained by Dr. Chowdhary's team made the recovery period very manageable."

Sanjay V.
Father

"The precision in Dr. Chowdhary's surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."

Anita Sharma
Mother

"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and methodical yet very caring."

Karan Singh
Parent
Dr. Sujit Chowdhary

Urological Specialist

Why Choose Dr. Sujit Chowdhary?

Hypospadias repair is a highly delicate surgery requiring precise micro-surgical skills. Using advanced techniques ensures the best functional and cosmetic outcomes with minimal discomfort.

  • Recognized expert in single-stage and two-stage hypospadias reconstruction.
  • High success rates in complex redo and salvage hypospadias surgeries.
  • Pioneer in pediatric micro-dissection and tissue preservation techniques.
  • Focus on excellent cosmetic and long-term functional results.
  • Compassionate post-operative care and support for families.
Learn More About Doctor

Common Queries

Frequently Asked Questions

What is Hypospadias?

It is a congenital condition where the urinary opening is on the underside of the penis rather than at the tip.

What is the ideal age for hypospadias surgery?

The ideal age for surgery is between 6 months and 18 months, before the child starts potty training.

Is circumcision recommended for a baby with hypospadias?

No, circumcision should not be performed because the foreskin tissue is often needed by the surgeon to reconstruct the urethra.

What is chordee, and how is it treated?

Chordee is a downward curvature of the penis often associated with hypospadias. It is corrected during the same surgical procedure.

How long is a urinary catheter left in place after surgery?

A small, soft catheter is typically left in place for 7 to 10 days to allow the newly reconstructed urethra to heal.

What are the main complications of hypospadias surgery?

The most common complications are urethrocutaneous fistula (a small leak) and urethral stricture, which can be repaired if they occur.

Will my child have normal sexual function and fertility in the future?

Yes, successful repair of hypospadias restores a straight penis and normal urinary stream, preserving normal sexual function and fertility.

Get in Touch

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Advanced single-stage hypospadias reconstruction restores function and appearance. Schedule a consultation today.

Clinic Address

D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057

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+91 98732 06761

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