Hypospadias is a condition a boy is born with, where the opening of the urinary passage is not at the tip. This page explains how hypospadias surgery is planned in Surat, what the operation involves and how recovery usually goes.
Hypospadias surgery moves the urinary opening to the tip of the penis and straightens any bend. Surgeons use nearby skin or graft lining to build a new passage, then cover it with a healthy protective layer. Repair is usually planned in early childhood as a single stage, though severe forms may need two operations. A fine catheter often stays in for a few days.
In hypospadias the opening of the urinary passage sits on the underside of the penis rather than at the tip. It may lie just below the tip or much further back, near the scrotum. Many boys also have a downward bend, called chordee, and the foreskin is often incomplete on the underside.
Surgery has three aims. The passage is extended so urine leaves from the tip, any bend is corrected so the organ is straight, and the appearance is made as natural as the available tissue allows. Skin from the shaft, tissue from the foreskin or lining taken from the inner cheek can be used to build the new passage, and a healthy layer is placed over it to protect the join.
Most boys need one operation. When the opening lies far back or the bend is marked, a planned two stage repair often gives a steadier result than forcing everything into a single sitting.
Not every degree of hypospadias needs surgery. The decision rests on the direction of the stream, any bending and the child's age.
The position of the opening, the degree of bend and the quality of skin are assessed. Photographs and a plan for one or two stages are discussed with parents before a date is chosen.
The child sleeps under general anaesthesia. A regional block is usually added, so waking is calmer and less pain medicine is needed during the first hours.
Tethering tissue on the underside is released until the penis is straight. Straightness is tested during surgery, because a bend left behind can trouble the boy later in life.
Local skin or graft tissue is rolled into a tube that reaches the tip. A second protective layer is laid over the join, which lowers the chance of a leak.
A soft dressing is applied and a fine catheter often drains urine for several days. Both are removed at a planned clinic visit rather than at home.
Your child is kept comfortable with regular pain relief. Urine drains through the catheter into the nappy or a small bag. Most boys go home the same day or the next morning.
The dressing and catheter are removed at the clinic when advised. Some spotting and swelling are expected. Loose clothing helps, and rough play is put on hold.
Swelling settles and the stream is checked at review. Most boys return to school in this period. Cycling and straddle toys are kept aside a little longer.
The passage is reviewed for narrowing or a leak. Late problems can appear months after healing, so keep this visit even when everything looks and feels fine.
Most repairs heal well and the child passes urine forward without difficulty. Even in experienced hands a small leak, a narrowing or a stitch line that partly opens can happen, and these are put right at a later date once the tissues have settled. Swelling and bruising look alarming in the first week and then fade. Scars stay visible on close inspection. A review in later childhood is sensible, because some issues only appear with growth.
Hypospadias repair is delicate work on small tissue, and a few boys need a further procedure. Knowing this in advance makes follow up easier to plan.
The nappy period after surgery feels daunting, but a simple routine makes it manageable.
The opening does not move by itself, and any bending usually becomes more obvious with growth.
The foreskin is often used in the repair, which is exactly why circumcision is avoided beforehand.
A small leak or narrowing is a recognised outcome that is repaired at a second sitting, and most boys do well in the end.
Most boys with a straightforward repair have no fertility problem, though any associated condition is assessed separately.
Families come to us for a calm assessment before anything is done, including before any decision about circumcision.
Cost depends on how far back the opening lies, whether the repair is done in one stage or two, whether graft tissue is needed, the anaesthetic time and the length of stay. Repeat surgery after a previous repair elsewhere usually takes longer and is priced accordingly. Mediclaim often covers congenital repair, and the team helps with pre authorisation. A written estimate follows the examination.
These are the questions that come up most often in consultation. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.
Ask your question →The published band runs from about Rs 55,000 to Rs 1.4L. Where the figure falls depends on the type of hypospadias, whether one or two stages are needed and how long your child stays. Mediclaim often applies, so bring the policy details to the first visit.
Anaesthesia for children is given by a trained paediatric team, and fitness is checked before a date is fixed. A regional block reduces the medicine needed afterwards. Most boys wake calmly and go home within a day, with clear instructions for the dressing.
The catheter and dressing usually stay for several days and are removed at the clinic. Swelling settles over two to four weeks, and school often restarts within a fortnight. Cycling and rough play are kept aside for a little longer than that.
Most boys pass urine from the tip with a straight stream and an appearance close to usual. Results depend a great deal on the starting anatomy. A few need a small revision for a leak or narrowing, planned once tissues have settled fully.
Repair is commonly planned in the first few years of life, when tissues heal well and a child remembers little of it. Older boys and adults can still be treated. Weight, general health and the type of hypospadias guide the timing.
It is not an emergency, so there is time to plan properly. Waiting many years is not ideal, because a bend or a poorly placed opening can affect passing urine while standing and later sexual function. Booking an assessment early keeps the options open.
Your child is examined gently and the position of the opening, the bend and the skin available are all noted. Parents hear whether one or two stages are likely, what the dressing and catheter involve, and what the estimate and insurance position would be.
This condition sits between reconstructive surgery and mens health. The wider assessment, including function and follow up into adult life, is covered on the sister site.
Seeing patients from across the city and beyond: read about the practice on the plastic surgeon in Surat page, or check what a written estimate covers on the costs and insurance page.
