What is Hypospadias Repair?
Hypospadias repair is a surgical procedure that corrects the position of the urethra on the penis. Hypospadias is a congenital condition where the urethra, or meatus, does not develop properly in the penis. In babies, hypospadias types include those near the penis head (subcoronal), along the penis shaft (midshaft), or where the penis and scrotum meet (penoscrotal). If a child has hypospadias, they may also have congenital penile curvature (chordee) and penoscrotal transposition, which may require correction by the surgeon. Surgeons typically recommend a hypospadias repair for children six months to two years after birth, but the decision lies with the parent.
Types of Hypospadias Repair
Hypospadias surgery types include:
- Single-stage repair: All aspects in one surgery.
- Two-stage repair: Straightening the penis and reconstructing the urethral opening.
A few techniques vary based on severity and available tissue, which include:
- Tip repair.
- Onlay graft.
- Oral mucosal graft (severe cases).
| Procedure Name | Hypospadias |
|---|---|
| Type of Surgery | Open |
| Type of Anesthesia | General anesthesia |
| Procedure Duration | 1 to 3 hours |
| Recovery Duration | Few weeks |
Hypospadias: Pre-Op & Post-Op Care
Preparation for Hypospadias
Before a hypospadias repair, a surgeon will evaluate the general health, take vitals, and perform a physical examination of the penis. They will locate the opening, assess pee flow, determine curving, and, if necessary, perform a cystoscopy or urethrogram to identify any blockages.
During the procedure
A hypospadias repair is performed by a pediatric team, including a urologist, anesthesiologist, and nurse. The child receives general anesthesia. A section of the foreskin is used to lengthen the urethra, and a catheter is inserted to maintain shape and drain urine. Dissolvable stitches close the incisions, which dissolve within two weeks, ensuring the urethra remains intact and functional.
After the Hypospadias Surgery
After a hypospadias surgery, the surgeon secures the stent and sutures, and the child is sent to a recovery room for monitoring. The child can go home the same day they have surgery because the majority of hypospadias correction treatments are outpatient procedures.
Hypospadias Surgery Recovery
After hypospadias repair, children often feel tired and may spend more days sleeping, which aids their recovery. Recovery times vary, but swelling and bruising typically subside after two weeks, and in most cases, a complete recovery might take six weeks.
Post-procedure care
Post-surgical care includes:
- Urethral care is to be taken to drain urine for a week.
- Medications are prescribed for discomfort.
- Antibiotics are used to prevent infection.
- Clear liquids are advised initially, then a light diet as tolerated.
- Avoid strenuous activity and sports for at least 2 weeks.
- Limitation on regular baths until catheter removal, then switch to lukewarm soaks.
- Wound care is to be taken as instructed.
- Avoid removing stitches yourself.
- Gentle cleaning is needed for the penis after dressing removal.
Benefits of Hypospadias at Yashoda Hospitals
- Creates a functional urethra at the penis tip, enabling normal urination.
- Prevents urinary tract infections (UTIs) due to abnormal urine flow.
- Creates a more natural penis appearance.
- Improves chances of normal ejaculation and sperm function in severe cases.
- Minimal hospitalisations with no blood loss.
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