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Hypospadias Medical Classification Diagram

Understanding Hypospadias

Hypospadias is a common congenital condition in male infants where the urethral opening is located on the underside of the penis rather than at the tip. Depending on the severity, the opening may be near the glans (glanular/coronal), along the midshaft, or near the scrotum (penoscrotal/perineal). It is frequently accompanied by a downward penile bend (chordee) and an incomplete, hooded foreskin. Timely evaluation for hypospadias treatment in Delhi allows pediatric urologists to reconstruct the urethra and restore normal urinary and reproductive function.

Causes of Hypospadias

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

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

Signs of Hypospadias

Key visual and functional signs include:

  • Underside Opening: The urethral opening is located below the tip, along the shaft, or near the scrotal junction.
  • Downward Bend (Chordee): The penis curves downward, which becomes noticeable during erection.
  • Hooded Foreskin: The foreskin only covers the top half of the glans, leaving the underside exposed.
  • Abnormal Stream: Spraying or downward deflection of the urinary stream, requiring the child to sit to urinate.

Advanced Care

Treatment Options

TIP (Snodgrass) Urethroplasty

The gold-standard repair for distal hypospadias, tubularizing the urethral plate over a catheter to create a natural functional stream.

Orthoplasty (Curvature Correction)

Surgical straightening of penile curvature by releasing tethered ventral tissue or applying dorsal plication.

Redo Hypospadias Reconstruction

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 surgical magnification, tethered tissues are released to completely straighten the penile axis.

02

Neourethra Construction

A new urethral tube is constructed using local tissues, reinforced with a well-vascularized dartos tissue layer.

03

Urinary Stenting & Recovery

A small silicone catheter stent is left in place for 7 to 10 days to allow the newly formed urethra to heal without urine contact.

Success Stories

Hear From The Parents

"We were extremely anxious about our infant's condition, but consulting Dr. Sujit for hypospadias surgery in Delhi was the best decision. He performed a TIP urethroplasty, and the cosmetic result is perfect."

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

"Dr. Chowdhary is the leading hypospadias treatment doctor in Delhi. The post-operative care and double diapering technique explained by his team made recovery smooth and stress-free."

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 to consult Dr. Chowdhary for hypospadias treatment in Delhi. His approach is scientific, methodical, and deeply caring."

Karan Singh
Parent
Dr. Sujit Chowdhary

Urological Specialist

Why Choose Dr. Sujit Chowdhary?

When parents seek an experienced hypospadias treatment doctor in Delhi, micro-surgical precision and extensive reconstructive expertise are essential for achieving optimal functional and cosmetic outcomes.

  • Recognized expert in single-stage and complex hypospadias surgery in Delhi.
  • High success rates in complex redo and salvage hypospadias reconstructions.
  • Pioneer in pediatric micro-dissection and tissue preservation techniques.
  • Focus on excellent cosmetic appearance and straight forward urinary stream.
  • Compassionate post-operative care and dedicated support for families.
Learn More About Doctor

Common Queries

Frequently Asked Questions

What is Hypospadias and how does it affect boys?

Hypospadias is a congenital condition where the urinary meatus (opening) develops on the underside of the penis instead of at the tip. It can cause urinary spraying, downward curvature during erection, and aesthetic concerns, requiring specialized surgical reconstruction.

What is the ideal age for hypospadias surgery?

Pediatric urologists recommend performing hypospadias repair between 6 and 18 months of age. Surgery at this age allows ideal tissue healing, minimizes psychological memory of the procedure, and ensures complete recovery before toilet training begins.

Why should circumcision be avoided before hypospadias repair?

Routine neonatal circumcision should strictly be avoided because the hooded prepuce (foreskin) contains essential vascularized tissue that the pediatric urologist utilizes to reconstruct the new urethral tube (neourethra).

What is penile chordee and how is it corrected?

Chordee is a downward tethering or curvature of the penis often associated with hypospadias. During surgery (orthoplasty), fibrous tissue bands are released to completely straighten the penile shaft before constructing the new urethra.

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

A soft, flexible silicone stent is typically kept in place for 7 to 10 days post-surgery. This diverts urine away from the healing tissues and ensures the newly constructed urethral channel heals cleanly.

What are the success rates and potential complications?

Single-stage hypospadias repairs by an experienced pediatric urology specialist have high success rates. Potential minor complications like a small urethrocutaneous fistula (fluid leak) or stricture occur in a small percentage of cases and are easily repairable.

Will my child have normal urinary stream and adult fertility?

Yes, successful hypospadias reconstruction achieves a straight penis, a normal forward-directed urinary stream, and normal adult sexual function and reproductive 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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