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Proximal hypospadias repair cost in India
Released Date: 2021-03-03
What is proximal hypospadias?
In hypospadias, the opening of a boy’s urethra (through which both urine and semen pass) is located on the underside of the penis rather than at the tip. This condition, which is present at birth, affects about 1 in 200 boys. While very mild forms of hypospadias may not interfere with urinary or reproductive function, most boys with the condition will require surgery. The location of the opening determines the severity of the condition. In anterior or distal hypospadias, the urethral opening is located near the tip of the penis. This is the mildest form of hypospadias, occurring in about 50 percent of cases. Middle hypospadias means that the opening is located midway up the penis and accounts for about 30 percent of cases. In the most severe form of the condition, known as posterior or proximal hypospadias, the opening develops at a boy’s scrotum or perineum and occurs in 20 percent of cases.
🖼️ Understand It in Pictures
Normal opening and after hypospadias repair
👀 Symptoms in Pictures
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
Symptoms
- Downward urinary spray (in older boys with more severe hypospadias, this may mean they have to sit down to urinate)
- Downward curve of the penis, called chordee
- A “hooded” appearance to the penis, caused by extra foreskin along the top side
- Abnormal appearance of the tip of the penis (the glans)
In some cases, boys born with hypospadias may also have undescended testicles, inguinal hernias, or both. Hypospadias doesn’t cause physical pain or block urination, but left untreated, more severe forms can interfere with sexual intercourse in adulthood.
Causes
The key steps in forming the penis take place between weeks 9 and 12 of pregnancy. During this time, male hormones tell the body to form the urethra and foreskin. Hypospadias may be caused by problems with hormones.
Diagnosis
Hypospadias can only rarely be seen on fetal ultrasound, so doctors typically diagnose it just after the baby is born, during his first physical examination. Because the mildest forms of hypospadias can be overlooked, you should contact your doctor if you notice that your son’s urethral opening is not at the tip of his penis, that his penis curves downward, or his foreskin is not fully developed. Upon diagnosing hypospadias, your doctor should refer your son to a pediatric urologic surgeon.
Treatment
A pediatric urological surgeon can perform the procedure, ideally when your son is between 6 and 12 months old. Although the technique may differ depending on your son’s individual case, the goals of surgery are usually the same:
- To reposition the opening of the urethra at the tip of the penis (urethroplasty)
- To straighten the penis, if chordee is present (orthoplasty)
- To improve the outward appearance of the penis (removing the hooded foreskin)
Hypospadias surgery typically lasts one to two hours and occurs under general anesthesia. Unless the hypospadias is severe, the surgeon will complete the repair in one stage. However, some more severe cases will require two stages, but that is relatively rare. Depending on the extent of surgery, your child may either go home the same day or stay in the hospital overnight.
If you have any related query, you can send us your report at the email address below, or call or WhatsApp us for a second opinion.
Video/tele-consultation is also available
E-mail address- query@satyughealthcare.com
Phone number- +91-8860606766, +91-9910655125
Frequently asked questions
Q. At what age is hypospadias repair?
Hypospadias repair is done most often when boys are between 6 months and 2 years old. The surgery is done as an outpatient.
Q. Why is hypospadias bad?
When hypospadias occurs, the end of this tube does not form properly and the urine can come out in the wrong place. In most cases, the foreskin is also underdeveloped and an abnormal curvature of the penis can occur. This can affect self-esteem and sexual function in the future.
Q. Can hypospadias cause pain?
Hypospadias doesn't cause physical pain or block urination, but left untreated, more severe forms can interfere with sexual intercourse in adulthood.
Q. How long does hypospadias surgery take to heal?
Full healing will take up to 6 weeks. Your child may need a urinary catheter for 5 to 14 days after the surgery.
Q. What happens if hypospadias is not treated?
In some boys with hypospadias, the testicle has not fully descended into the scrotum. If hypospadias is not treated it can lead to problems later in life, such as difficulty performing sexual intercourse or difficulty urinating while standing.
Q. Does hypospadias have to be repaired?
Some forms of hypospadias are very minor and do not require surgery. However, treatment usually involves surgery to reposition the urethral opening and, if necessary, straighten the shaft of the penis. Surgery is usually done between the ages of 6 and 12 months.
Q. How can I book an appointment?
You can reach us through the details below.
E-mail address- query@satyughealthcare.com
Phone number- +91-8860606766, +91-9910655125
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