Hyposaodias

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Hyposaodias

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Hyposaodias

Hypospadias is a congenital condition in males where the opening of the urethra (urine passage) is located on the underside of the penis instead of at the tip. This may be associated with penile curvature (chordee) and an abnormal foreskin.

Surgical correction of hypospadias is essential to restore normal urination, enable future sexual function, and achieve a natural appearance.

Types of Hypospadias

Depending on the location of the urethral opening, hypospadias is classified into:

  • Distal (mild): Near the head of the penis

  • Midshaft: Along the shaft of the penis

  • Proximal (severe): Near the base of the penis or in the scrotum

Each type may vary in complexity and surgical approach.

When is Surgery Performed?

  • Ideal age: Between 6–18 months of age

  • Can also be performed in older children or adults

  • One-stage or two-stage surgery, depending on severity

Early surgery helps avoid psychological impact and promotes better healing.

Goals of Surgery

  • Create a functioning urethra that opens at the tip

  • Correct any penile curvature

  • Achieve a natural appearance

  • Allow the child to urinate standing up

  • Preserve or enhance future sexual and reproductive function

Surgical Techniques

Various techniques are used depending on severity, including:

  • Tubularized Incised Plate (TIP) Repair (Snodgrass technique)

  • Onlay Flap Urethroplasty

  • Two-stage Urethroplasty for severe or redo cases

  • Chordee correction

  • Preputial or buccal mucosa grafts in complex cases

All procedures aim to achieve both functional and cosmetic success.

Postoperative Care & Recovery

  • Catheter or stent may be placed temporarily

  • Mild swelling or discomfort may occur initially

  • Activity restrictions for a few weeks

  • Regular follow-ups to monitor healing and function

Possible Complications (Though Rare with Expert Care)

  • Fistula (urine leakage from abnormal opening)

  • Stricture (narrowing of new urethra)

  • Meatal stenosis (narrowing of urethral opening)

  • Cosmetic concerns or residual curvature

These can often be corrected with minor revision surgery if needed.

Why Choose Us for Hypospadias Repair

  • Dedicated expertise in pediatric and reconstructive urology

  • Use of modern, minimally invasive surgical techniques

  • High success rates with natural appearance

  • Compassionate care with child-friendly environment

  • Long-term follow-up for growth and function