Hypospadias Treatment

Surgery to treat hypospadias, a congenital condition that affects newborn males, is known as hypospadias surgery.  The medical condition known as hypospadias occurs when the urethra, or the tube that empties the urine from the penis, is not developed properly.

The Meatus, also known as the external urethral aperture, is situated at the penis' glans. On the shaft of the penis, the meatus instead originates in a different location in infants with hypospadias. Surgery is the most common treatment for this condition, and it usually results in the restoration of your child's penis to its natural appearance. Most boys can have normal urination and output with appropriate therapy. Urine and sperm are supposed to be able to depart the body through the penis, and this process is made more effective if the apertures are located at the tip.

Hypospadias types

The location of the meatus opening determines the type of hypospadias that a person has.

• Subcoronal hypospadias: The meatus, or urethral entrance, is situated at the apex of the penis in this case. During an erection, this could result in a little curve. 
• Midshaft hypospadias In this instance, the meatus is situated directly along the shaft, midway down the penis side.
• Penoscrotal hypospadias: The urethral entrance is situated where the shaft and scrotum meet. When an erection occurs, the penis of the babies with this problem curves notably more.
• Distal hypospadias:The meatus will be located toward the end of the penis and closer to the edge of the head if your infant is diagnosed with distal hypospadias. A slight curvature may also result from this during an erection.
• Glandular hypospadias:The most common type of hypospadias, known as glandular hypospadias, occurs when the meatus is situated at the head of the penis rather than the tip. 
• Perineal hypospadias : In this instance of perineal hypospadias, the urethral aperture is in the middle of an unevenly divided scrotum. In addition, having an erection results in a significant curvature that needs to be corrected right away.

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Causes of hypospadias disease

The precise cause of hypospadias remains unknown, despite the fact that it is a relatively prevalent congenital illness. The prevailing consensus among specialists is that the causes of hypospadias are primarily attributed to the interaction between genetics and environmental factors, such as the mother's lifestyle choices, food, and use of medications during pregnancy.

Your infant may develop hypospadias due to the following main factors:

• Weight and age of the mother: Experts state that if a mother is older than 35 when she becomes pregnant, her baby is likely to have hypospadias. Babies with hypospadias may also be overweight.
•  Genetic inheritance:Due to the genes of your family members who have had long-standing hypospadias cases, your baby may be born with this problem.
• Disorders of Hormones: Typically, a baby's penis forms within the first nine to twelve weeks of pregnancy. Male hormones are essential for the development of the penis, and an imbalance in these hormones can result in this illness.
• Treatment for fertility: New ways for treating infertility have been established by professionals due to the evolution of medical technologies. However, your baby may occasionally develop hypospadias as a result of these treatments.
• Smoking and chemical exposure: An important additional cause of hypospadias include smoking and exposure to dangerous chemicals and pesticides.

Difference between epispadias and hypospadias

• Epispadias and hypospadias are the birth abnormalities involving urethra.Each specifies where the urethral aperture is located.
• Hypo-denotes below, and epi-denotes above.
• Boys are primarily affected by hypospadias. The urethra fails to properly grow and reach the tip of the penis in hypospadias. At the base of the penis, the urethra aperture closes at a distinct location.
• Additionally, the tube does not develop properly in epispadias. The penis's top has an aperture. 

Why do international patients choose India for hypospadias treatment?

Many Arabic nationals, including those from Saudi Arabia, Bahrain, Oman, and Iraq, come to India in search of the best care at the lowest possible price. In comparison to other countries, India offers hypospadias surgery at a reduced cost. India's surgeons are highly skilled and offer top-notch care. Indian hospitals offer modern amenities and medical procedures. The best hospitals in India provide surgery for penoscrotal, midshaft, and subcoronal hypospadias. 

Diagnosis for hypospadias in India

Diagnosis is the first step in treating hypospadias. During a postpartum physical check, the doctors identify this problem in your baby. The penis has a distinct curve that makes diagnosing the problem noticeable. If the problem is mild, it might not always be obvious, therefore you might need to take your child back to the doctor once you start to notice any symptoms.

Hypospadias repair in India

The kind of care your child needs for his hypospadias depends on the kind of deformity he has. Surgery is a popular form of treatment that aids in problem resolution. Rebuilding your baby's penis to resemble a normal one, with the meatus or urethral opening at the top of the head, is the primary goal of the procedure. General anaesthesia will be used to put your child to sleep prior to the procedure. Your child won't be substantially affected, and the surgeons will employ a variety of pain-relieving techniques to provide a painless recovery period following the procedure.

Procedure of hypospadias surgery

• The surgeon will initially straighten the penis' shaft throughout the procedure.
• Following the straightening of the shaft, the surgeon will make a suitable urinary channel with an opening at the tip, or head, of the penis, which is the typical location for a meatus. 
• The surgeon will then either remove the extra skin or rebuild the foreskin.
• Treatment for hypospadias involves a variety of surgical techniques. 
• The most popular therapy for glandular hypospadias is urethromeatoplasty. With this surgical technique, the physician makes a new urethral opening, or meatus, and then reconstructs the penis' head to place the opening correctly.
• If your child has penoscrotal hypospadias, surgery will be performed in two stages. The two stages of surgery are performed by the surgeon six months apart, with a long-term basis. Usually, the urethral opening is recreated by the surgeon using skin taken from the baby's mouth. The conspicuous curve of the penis during an erection is eradicated along with the atypical split of the scrotum.
• For distal hypospadias, the procedure typically takes 90 minutes, but for other types of procedures, it takes three hours. 
• The surgeon will straighten the penis before repairing the urethra, regardless of the type of hypospadias and the number of procedures performed. 

Recovery after hypospadias operation

• To prevent urine from unduly affecting the recently performed operation, the doctor will place a catheter in your baby's penis after the procedure. 
• The catheter or tube is left for a few days and connected to a diaper normally.
• Rest assured that neither the tube nor the hypospadias operation will pose a significant risk to your child. 
• For this reason, before the newborns turn one year old, the majority of doctors prefer to operate. 
• Compared to late treatment in adults, early treatment results in reduced pain and discomfort.
• In addition, a lot of medications have been developed to block the pain so your child won't have any discomfort following surgery. 
• You are solely responsible for caring for your baby's wound following surgery once they get home. You have to do as the physician directs.

Factors affecting the cost of hypospadias surgery in India

The following are some significant variables that affect the cost of hypospadias surgery in India:

• Location of the hospital or clinic: Care in a private hospital or clinic is frequently more expensive than that in a public hospital.
• Costs associated with medications: Some medications may have an impact on the total expense of hypospadias surgery in India.
• Patient Condition: The intricacy of the patient's general condition may have an effect on how long therapy takes, which may raise expenses.
• Treatment duration: Extended programs that need several visits may result in increased overall expenses.
• The knowledge and experience of healthcare providers: A renowned and experienced urologist surgeon typically asks greater fees, which raises the cost of treatment.

Best hospitals for hypospadias treatment in India

• Fortis Memorial Research Institute, Gurgaon?
• ?Fortis hospital, Bangalore?
• ?Medanta The Medicity, Gurugram?
• Artemis Hospital, Gurugram?
• ?Max Hospital, Delhi?
• ?Apollo Hospitals, Delhi?

Best surgeons for hypospadias operation in India

• Dr. Vikram Sharma
• Dr. Mohan Keshavamurthy
• Dr. Rajesh Kumar Ahlawat
• Dr. Vikram Barua Kaushik 
• Dr. Atul N C Peters
• Dr. Ashish Sabharwal 

FAQ

1. What is the best time to get treatment for hypospadias treatment?

• Generally, your child should receive these treatments between the ages of six and twelve months. However, if the condition was not identified early enough, teens and adults may also have the operation.

2. Which type of hypospadias is most common?

• Distal hypospadias and glandular hypospadias are the two most common hypospadias disorders in infants. In these situations, the urethral opening is not near the tip as is usual, but rather closer to the head of the penis.

3. Do all hypospadias require surgery?

• Surgery is not usually necessary to treat all hypospadias. The influence on sexual and urinary function, the position of the urethral opening, and the severity of the issue all play a role in the choice to have surgery. In moderate cases, surgery might not be required, but in intermediate to severe cases, corrective procedures are usually required.

4. How can I book and schedule a consultation for hypospadias surgery in India?

• We will assist you in getting expert advice and the best treatment from a panel of specialists. You can contact us via phone at +91-9289678787 or email us at care@getwellgo.com

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