Hypospadias: A Hidden Problem and Its Solution

Today, we are going to discuss a condition that affects many men but is often hidden due to embarrassment and hesitation. This condition is called Hypospadias. It is a congenital disorder where the opening of the urethra (the tube that carries urine out of the body) is not located at the tip of the penis but somewhere along the underside. Although it is a common condition, it is rarely talked about, leaving many individuals untreated and unaware of the solutions available.

In this blog, we will delve deep into hypospadias treatment in Delhi, covering its symptoms, causes, associated problems, treatment options, and the cost of treatment. If you or someone you know is dealing with this condition, this information could be incredibly helpful.

What is Hypospadias?

Hypospadias is a congenital condition in which the urethral opening is not at the tip of the penis but is located somewhere along the underside. This opening can be:

  • Along the shaft of the penis
  • Near the scrotum
  • Even close to the anus (in severe cases)

Hypospadias is one of the most common congenital penile disorders, affecting approximately 1 in every 200 to 300 newborn boys.

Types of Hypospadias

Hypospadias is classified based on the location of the urethral opening:

  1. Coronal Hypospadias
    • The opening is located near the tip of the penis, just below the glans.
  2. Mid-Penile Hypospadias
    • The opening is along the shaft of the penis.
  3. Scrotal Hypospadias
    • The opening is located near or behind the scrotum. This is the most severe form of hypospadias and often requires complex surgical repair.

Symptoms and Problems Associated with Hypospadias

Hypospadias can cause several functional and cosmetic problems, including:

1. Difficulty in Urination
  • Since the urethral opening is not in the correct position, urination can be difficult.
  • Many individuals with severe hypospadias need to sit down to urinate.

2. Abnormal Penile Curvature (Chordee)

  • Hypospadias often causes the penis to curve downward during erection (chordee).
  • This can make sexual intercourse painful or difficult.

3. Smaller Penile Size

  • In some cases, the penis may not fully develop, resulting in a smaller-than-average size.

4. Infertility Issues

  • Severe hypospadias can interfere with ejaculation and sperm delivery, leading to infertility.

Causes of Hypospadias

Hypospadias occurs due to incomplete development of the urethra during fetal growth. The exact cause is not always known, but possible risk factors include:

โœ… Genetic Factors โ€“ A family history of hypospadias increases the likelihood of the condition.
โœ… Hormonal Imbalance โ€“ Improper production of testosterone during fetal development can lead to hypospadias.
โœ… Maternal Factors โ€“ Certain medications, exposure to chemicals, or smoking during pregnancy may increase the risk of hypospadias.

Treatment for Hypospadias

The only effective treatment for hypospadias is surgery. Medications cannot correct this condition. The surgical procedure aims to:

  • Reposition the Urethral Opening โ€“ Moving the urethral opening to the tip of the penis.
  • Correct Penile Curvature โ€“ Straightening any downward curvature (chordee) to ensure normal sexual function.
  • Enhance Penile Size โ€“ If the penis is underdeveloped, surgical techniques can help improve its size and appearance.

The Surgical Procedure for Hypospadias

The surgery for hypospadias is called Hypospadias Repair. It is typically performed in two or three stages, depending on the complexity of the case:

โœ… Stage 1: Urethroplasty
  • The urethra is reconstructed to bring the opening to the tip of the penis.
  • Skin grafts from the penis, mouth, or other body parts may be used.
โœ… Stage 2: Chordee Correction
  • The curvature of the penis is corrected during this stage.
  • Tissue grafts may be used to support the straightened structure.
โœ… Stage 3: Penile Lengthening (if required)
  • If the penis is smaller than normal, techniques such as tissue expansion may be used to increase penile length.

Ideal Age for Surgery

Hypospadias surgery can be performed at different ages, depending on the severity of the condition and the patient’s circumstances:

  • 1 to 4 Years โ€“ Pediatric surgeons often perform surgery during early childhood.
  • 12 to 16 Years โ€“ Another common age for surgery, as the penis has developed further by this time.
  • After 24 Years โ€“ Surgery can still be performed in adulthood, especially before or after marriage.

Cost of Hypospadias Surgery in Delhi,

The cost of hypospadias surgery depends on several factors, including:

  • Complexity of the surgery
  • Experience of the surgeon and the hospital
  • Techniques and materials used

In India, the cost of hypospadias surgery typically ranges from โ‚น50,000 to โ‚น2,00,000. in India.

Recovery After Surgery

  • Most patients are discharged within 24 to 48 hours after surgery.
  • A urinary catheter is usually placed for 7 to 14 days to allow proper healing.
  • Full recovery takes approximately 4 to 6 weeks.
  • Sexual activity can typically resume after 6 to 8 weeks post-surgery.

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Frequently Asked Questions (FAQs) on Hypospadia

Is hypospadias surgery painful?

The surgery is performed under general anesthesia, so the patient feels no pain during the procedure. Mild discomfort after surgery is managed with medications.

Can hypospadias affect fertility?

Severe hypospadias can affect fertility due to improper sperm delivery, but successful surgical correction restores normal sexual and reproductive function.

What is the success rate of hypospadias surgery?

The success rate of hypospadias repair is over 95% when performed by an experienced urologist.

Can hypospadias recur after surgery?

In rare cases, complications such as fistula formation or urethral stricture may occur, requiring additional correction.

Does insurance cover hypospadias surgery?

Yes, many health insurance plans cover hypospadias surgery under congenital disorder treatments.

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Why Choose Dr. Vijayant Govinda Gupta for Hypospadias Surgery?

Dr. Vijayant Govinda Gupta is a highly experienced urologist and andrologist specializing in hypospadias repair and other complex urological conditions. His expertise ensures:

โœ”๏ธ High success rate with minimal complications
โœ”๏ธ State-of-the-art surgical techniques
โœ”๏ธ Compassionate and personalized care

Hypospadias is a treatable condition, but timely intervention is crucial. If you or someone you know is dealing with this issue, do not hesitate to seek medical advice. Consulting a skilled urologist like Dr. Vijayant Govinda Gupta can help address the problem effectively and restore normal function and appearance.

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