Hypospadias Surgery In Delhi

How common is hypospadias and what causes it?
About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason
why the penis does not develop properly is still not clear. The development of the penis while the baby is growing
in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.
What is the treatment for hypospadias?
If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of
the penis, no treatment may be needed. However, in most cases an operation is required to correct
the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two
operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals
of treatment are:
• For urine to be passed in a forward way.
• For the penis to be straight when erect.
• For the penis to look as normal as possible.
The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the
penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important
that a circumcision is not done before the corrective surgery is performed.depanding on the surgery of
hypospedias surgeryes
The success of the operation and the ‘normality’ that can be achieved depends on the severity of
the hypospadias done in single as two stage
What happens after the operation?
Your son will be brought back to the ward to recover. He will be able to eat and drink after 3 hours He will have a
dressing on his penis and a tube draining away the urine. The patients are usually kept for 2 days in the hosptial
and then discharged. The dressing and tube need to stay in place for 10 days, then you will need to come back to
the Hospital to have them removed.
What are the risks of hypospadias repair?
All surgery carries a small risk of bleeding during or after the operation.
For about one in ten boys, the original hole opens up again, so that your son passes urine through two holes. This
can occur at any time after the operation. If this happens, your son will need the operation again. Occasionally, the
new hole at the tip of the penis is too small, so your son will need another operation to make the hole larger. The
drainage tube can irritate the inside of the bladder, which is painful. This is called ‘bladder spasm’. To reduce this,
your son will be given ‘bladder spasm medicine’ as well as pain relief.
When you get home
Your son will go home with the catheter and dressing in place. Staff on the ward will give you full details of how to
care for these at home.
• You should encourage, to drink plenty of water/fluids.
• Your child may need some pain relief when you get home.
• You should not have a bath or shower until after the dressing comes off.
• Putting your son in two nappies at a time can protect the area from accidental knocks.
• Your son should not ride a bicycle or any sit-on toy until the area has healed.