Evaluation on OPD Basis- $800-$1000, Surgery-$3400
Patient - 1 day in a ward
Cost of Surgery,
Consultation by Primary Team in Package days,
Routine Pharmacy and Consumables,
1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Hypospadias Repair?
Hypospadias is a condition where the meatus isn't at the tip of the penis. Instead, the hole may be any place along the underside of the penis. The meatus (hole) is most often found near the end of the penis ("distal" position). But it may also be found from the middle of the penile shaft to the base of the penis, or even within the scrotum.
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.
Categories of Hypospadias
Orthoplasty: Straightening of the penis
Urethroplasty: Rebuilding the urethra so that urine and semen will flow as far forward as possible
Meatoplasty/glanuloplasty: Building a new opening and reconstructing the head of the penis as necessary to accommodate the new opening
Scrotoplasty: Repair of the scrotum
Skin coverage: Getting enough skin grafts to complete all necessary hypospadias repairs
The goal of any type of hypospadias surgery is to make a normal, straight penis with a urinary channel that ends at or near the tip. The operation mostly involves 4 steps:
Straightening the shaft
Making the urinary channel
Positioning the meatus in the head of the penis
Circumcising or reconstructing the foreskin
Hypospadias repair is often done in a 90-minute (for distal) to 3-hour (for proximal) same-day surgery. In some cases the repair is done in stages. These are often proximal cases with severe chordee. The pediatric urologist often wants to straighten the penis before making the urinary channel. Surgeons prefer to do hypospadias surgery in full-term and otherwise healthy boys between the ages of 6 and 12 months. But hypospadias can be fixed in children of any age and even in adults. If the penis is small, your health care provider may suggest testosterone (male hormone) treatment before surgery. A successful repair should last a lifetime. It will also be able to adjust as the penis grows at puberty.
After the Surgery
Modern hypospadias surgery results in a penis that works well and looks normal (or nearly normal). Many surgeons leave a small tube ("catheter") in the penis for a few days after surgery to keep urine from touching the fresh repair. The catheter drains into the diaper. Antibiotics are often given while the catheter is in place. Younger boys seem to have less discomfort after repair. When the surgery is done at 6 to 12 months of age, as most pediatric urologists recommend, the child doesn't even remember it. Older boys handle this surgery well, also, especially with the types of drugs we now have to treat pain. In some cases, medication may be needed to treat bladder spasms.
Complications after Surgery
A breaking down of wounds during the healing period: The repair “falls apart” or the skin graft fails to “take”
Narrowing of the opening
Urethrocutaneous fistula: A hole in the skin of the penis that is deep enough to reach the urethra and allow urine to leak through; it is possible for a fistula to form months or years after hypospadias repair
Urethral stricture: Local scarring that narrows the urethra, restricting the flow of urine; results in pressure on surrounding structures such as the kidneys, prostate, bladder, and testicles
Hair in the urethra: a result of using hair-containing skin for repairs; the use of such skin is avoided in more modern surgical techniques
Stones in the urethra
Epididymitis: Swelling in the channel leading from the testicles to the urethra
Diverticulum: A bulge in the urethra that forms a fluid-filled pouch
Shortening of the penis
Recurrent curvature of the penis
Symptoms of hypospadias repair complications
Weak urinary stream or pain when urinating
Pain in a testicle, either side of the body, or the lower back
Straining to empty the bladder
Lumps or hard spots in the penis
Discomfort during sex
Urinary tract infections
If you have any related query, you can send us your report on below mention email address or you can call us or whatsApp for any second opinion.
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.
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.
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.
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