Hypospadias Single Stage Repair

Hypospadias single-stage repair is a preferred treatment to hypospadias. In those with hypospadias, the urethra’s opening lies near the base of the penis rather than the tip. 

Conditions such as genetics, pregnancy after 35 with obesity, fertility treatment involving hormone injection, etc., are linked to hypospadias in a child. 

Few mild cases of hypospadias need no surgery. However, a child should typically undergo the hypospadias single-stage repair before two years of age if the urethra is under or above the penis or masked by the penis. 

If untreated, hypospadias can affect erection, form a downward curve in the penis, and affect fertility in the latter stages of the child’s life. Since any medication cannot cure this condition, single-stage repairs aim at correcting the position of the urethra through minimally invasive surgeries.

How is Hypospadias Single Stage Repair performed? Before, during and after.

The procedure starts with an intravenous fluid injection through the arm or legs and local or generalised anaesthesia — as the doctor deems fit. It makes the child feel relaxed and comfortable.

The child is under anaesthesia. The urologist performs the surgery to straighten the penis and reposition the urethra on the top of the penis.

The child is under anaesthesia, and he can go home on the same day. The doctor will prescribe painkillers and antibiotics (to avoid infection at the operated site) and ease post-op pain. 

Call the doctor immediately if the following symptoms are noticed in the child after the surgery:

• Fever
• Difficulty in urination
• Infection or pus formation
• Bleeding 
• Discolouration at the tip of the penis

Book an appointment for getting a second opinion at Yashoda Hospital.

Cost of the Hypospadias Single Stage Repair

The table below provides essential facts about this procedure.

Risks and complications of the Hypospadias Single Stage Repair

Doctors perform the hypospadias single-stage repair to correct the opening of the urethra on the top of the penis where it should be naturally. 

However, this hypospadias surgery has no serious risks or complications if performed by an experienced doctor. Otherwise, the possible risk and complications may include the following:

• Bleeding
• Infection 
• Loss of fertility
• Blood clotting
• Fistula and scar formation 
• Leakage of urine

Who needs a Hypospadias Single Stage Repair?

The urologist typically performs this surgery within six months to two years of age of the child. The goal of the surgery depends on the severity of the condition. It may include one (or more) of the following:  

• Create a new, correctly-positioned opening of the urethra on the penis’ tip.
• Build a new urethra.
• Straighten the penis (orthoplasty).