Hypospadias Repair Surgery
Specialized evaluation and reconstructive treatment for primary, proximal, complex and previously failed hypospadias by an experienced genito-urinary reconstructive surgeon.
Reconstructive Expertise
Personalized Surgical Planning
13+ Years of Experience
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Overview
What is Hypospadias?
Hypospadias is a congenital condition in which the opening of the urethra is located on the underside of the penis instead of at or near the tip of the glans. The position of the opening can vary from just below the tip of the penis to the penile shaft, penoscrotal region or, in severe cases, near the perineum.
Hypospadias may also be associated with downward penile curvature called chordee, an incompletely formed foreskin and abnormal distribution of penile skin.
Hypospadias repair is reconstructive surgery designed to create a functional urinary passage, correct significant penile curvature when present and improve the position and appearance of the urethral opening.
Important: Hypospadias varies considerably between patients. The appropriate operation depends on the location of the urethral opening, degree of curvature, quality of the urethral plate, previous surgery and available healthy tissue.
Types
Types of Hypospadias
Distal Hypospadias
The urethral opening is located near the head of the penis. This is one of the more common forms and may be suitable for a single-stage repair.
Midshaft Hypospadias
The opening is located along the middle portion of the penile shaft.
Proximal Hypospadias
The urethral opening is situated closer to the base of the penis or penoscrotal region and is more frequently associated with significant penile curvature.
Penoscrotal Hypospadias
The urethral opening lies near the junction between the penis and scrotum and may require more complex reconstruction.
Perineal Hypospadias
A severe form in which the urethral opening is located close to the perineum.
Failed / Recurrent Hypospadias
Patients who have undergone previous repair may develop fistula, narrowing, recurrent curvature, breakdown of the repair or other complications requiring reconstructive surgery.
Symptoms
Signs & Features of Hypospadias
- Urethral opening located below the normal position
- Downward or spraying urinary stream
- Difficulty directing the urinary stream
- Penile curvature during erection
- Hooded or incomplete foreskin
- Abnormal appearance of the penis
- Difficulty urinating while standing in more severe cases
- Narrow urinary opening
Evaluation
How We Evaluate Hypospadias
A detailed examination is essential before deciding the surgical technique. Dr. Gautam Banga evaluates the penile anatomy, urethral opening, curvature and available tissue before planning reconstruction.
Evaluation may include:
- Medical & Surgical History – including previous hypospadias operations and postoperative complications.
- Physical Examination – assessment of meatal position, glans configuration, penile skin and foreskin.
- Penile Curvature Assessment – evaluation for chordee and the degree of curvature.
- Urethral Plate Assessment – examination of the tissue that may be used to reconstruct the new urethra.
- Urinary Stream Evaluation – particularly in older children and adults with spraying, weak stream or straining.
- Previous Operative Records – important in patients undergoing redo reconstruction.
- Uroflowmetry – may be advised in older patients with suspected obstruction.
- Cystoscopy or Urethral Evaluation – may be required in selected complex or previously operated cases.
- Associated Condition Assessment – particularly in severe proximal cases where additional congenital abnormalities may require evaluation.
Treatment
Hypospadias Repair Options
Why Choose Us
Why Choose Dr. Gautam Banga for Hypospadias Repair?
Reconstructive Urology Expertise
Focused experience in urethral, penile and genito-urinary reconstructive procedures.
Primary & Complex Cases
Evaluation and treatment planning for distal, proximal and complex hypospadias.
Failed & Redo Hypospadias
Specialized reconstruction for patients with fistula, stricture, recurrent curvature or complications after previous surgery.
Personalized Surgical Planning
The technique is selected according to meatal position, penile curvature, urethral plate and available healthy tissue.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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- +91 99990 62316
Our Client Testimonials
Read experiences shared by patients treated by Dr. Gautam Banga for male infertility, urethral, penile and reconstructive urological conditions.
Frequently Asked Questions
Hypospadias is a congenital condition in which the urethral opening is located on the underside of the penis rather than at its usual position near the tip.
Hypospadias develops before birth while the penis and urethra are forming.
The exact cause is often multifactorial and may involve genetic, hormonal and developmental factors.
Not necessarily.
The decision depends on the position of the urethral opening, urinary function, penile curvature and expected future functional and cosmetic concerns.
For children requiring primary repair, surgery is commonly planned during infancy or early childhood.
Current European paediatric urology guidance suggests approximately 6–18 months of age for primary repair, although timing should be individualized.
Usually not before specialist evaluation.
The foreskin may provide useful tissue for reconstruction in some forms of hypospadias. Parents should therefore consult the surgeon before circumcision when hypospadias is suspected.
Chordee refers to abnormal downward curvature of the penis.
It commonly occurs with more severe forms of hypospadias and may need to be corrected during reconstruction.
Many distal cases can be treated with a single-stage operation.
Proximal, severe or previously failed hypospadias may require staged reconstruction.
TIP stands for Tubularized Incised Plate urethroplasty.
It uses the existing urethral plate to construct a new urinary channel and is commonly used in selected distal and mid-penile hypospadias.
Staged reconstruction divides treatment into separate operations.
It may be necessary when there is severe curvature, insufficient healthy urethral tissue, extensive scarring or complications from previous surgery.
A previous repair may be considered unsuccessful when problems such as fistula, urethral narrowing, recurrent curvature, wound breakdown or persistent abnormal urinary function occur.