Hypospadias Repair
What is Hypospadias Repair?
Hypospadias repair is a surgical procedure to correct a congenital condition where the urethral opening (meatus) is located on the underside of the penis rather than the tip, often accompanied by penile curvature (chordee). It’s typically performed in young children to improve urinary function and cosmetic appearance. In India, hypospadias repair is conducted in pediatric urology or surgery departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, often at affordable costs. Understanding the procedure, costs, recovery, risks, and FAQs is essential for caregivers.
Why do you need Hypospadias Repair?
Hypospadias repair is indicated for:
- Hypospadias:
- Congenital defect (1 in 200–300 male births) where the urethral opening is on the underside of the penis.
- Types: Distal (near the tip, 70%), midshaft (20%), proximal (near the base, 10%).
- Symptoms: Abnormal urination (spraying, difficulty aiming), penile curvature (chordee), or cosmetic concerns.
- Associated issues:
- Undescended testes (10% of cases), inguinal hernia (10%), or mild penile curvature.
- Timing:
- Typically performed at 6–18 months of age for optimal healing and psychological impact; can be done later if needed.
The procedure aims to reposition the urethral opening to the tip of the penis, straighten the penis, and improve urinary function and cosmetic appearance, often in a single-stage surgery for distal cases.
Why Do Hypospadias Repair Costs Vary in India?
Costs range from ₹50,000 to ₹1.5 lakh :
- Procedure Complexity: Distal (single-stage, ₹50,000–₹80,000); proximal (two-stage, ₹80,000–₹1.5 lakh).
- Hospital/Location: Higher in metro cities (Apollo, Fortis: ₹80,000–₹1.5 lakh); lower in government hospitals (AIIMS: ₹20,000–₹50,000, often subsidized under Ayushman Bharat).
- Surgeon’s Expertise: Experienced pediatric urologists charge more.
- Additional Costs: Anesthesia (₹5,000–₹15,000), hospital stay (₹5,000–₹10,000/day), catheter (₹1,000–₹3,000), medications (₹2,000–₹5,000).
- Insurance: Covered for congenital defects; confirm with your provider.
Hypospadias Repair Procedure
- Before Surgery Evaluation:
- Diagnosis:
- Physical exam: Identifies meatal location, degree of chordee, and associated anomalies (e.g., undescended testes).
- Ultrasound (if needed): Assesses kidneys/ureters for associated anomalies (rare).
- Blood tests: Blood sugar, clotting profile.
- Consent: Risks, including fistula, are explained.
- Diagnosis:
- Surgical Techniques:
- Hypospadias Repair:
- Performed under general anesthesia, lasting 1–3 hours.
- Approach:
- Single-stage: Common for distal/midshaft hypospadias (e.g., TIP repair—tubularized incised plate).
- Two-stage: For proximal hypospadias or severe chordee; first stage straightens penis, second stage (6 months later) creates urethra.
- Repair:
- Chordee correction: Penis straightened by removing fibrous tissue.
- Urethroplasty: New urethra constructed using penile skin (e.g., foreskin flap or graft); meatus moved to the tip.
- Glansplasty: Glans (tip) reshaped for normal appearance.
- Skin closure: Penile skin rearranged; circumcision often performed unless foreskin needed for repair.
- Catheter: Urethral stent or catheter (e.g., Foley) placed for 7–14 days to allow healing.
- Intraoperative Tools:
- Fine sutures: Constructs urethra and closes skin.
- Catheter: Diverts urine during healing.
- Magnifying loupes: Enhances precision.
- Hypospadias Repair:
- After Surgery:
- Hospital stay: 1–3 days.
- Care: Keep catheter in place; clean with saline; apply antibiotic ointment.
- Pain management: Mild to moderate pain for 3–5 days; managed with acetaminophen.
- Instructions: Avoid straddling activities (e.g., bicycle) for 4–6 weeks; monitor catheter output.
Recovery After Hypospadias Repair
- Hospital Stay: 1–3 days.
- Post-Surgery Care:
- Pain/Swelling: Mild to moderate pain and swelling for 3–5 days; resolves in 1–2 weeks.
- Catheter: Remains for 7–14 days (removed at follow-up); ensures proper healing.
- Hygiene: Clean with warm water daily; apply antibiotic ointment to prevent infection.
- Activity: Avoid straddling activities for 4–6 weeks; normal play after 2 weeks.
- Urination: Normal stream expected after catheter removal; monitor for spraying or weak flow.
- Follow-Up:
- Visits at 1–2 weeks (catheter removal), 1 month, and 3 months.
- Physical exam: At 1 month to check healing and urine stream.
- Long-term: Annual checks until puberty for functional/cosmetic outcomes.
Most resume normal activities in 2–3 weeks; full healing takes 6–12 months (scar maturation). Success rate: 85–95% achieve normal urination and appearance after initial surgery; proximal cases may need revisions.
Risks and Complications
- Surgical Risks:
- Bleeding (1–3%): Minor bleeding at incision; severe bleeding rare.
- Infection (2–5%): At surgical site; treated with antibiotics.
- Anesthesia risks (<1%): Reaction to general anesthesia; rare in healthy children.
- Post-Surgery:
- Urethral fistula (5–15%): Abnormal opening along new urethra; may need repair (common in proximal cases).
- Meatal stenosis (2–5%): Narrowing of urethral opening; may need dilation.
- Urethral stricture (1–3%): Narrowing of new urethra; may need surgery.
- Wound dehiscence (1–3%): Suture line opens; needs re-suturing.
- Long-Term:
- Cosmetic issues (2–5%): Scarring or asymmetry; may need revision.
- Persistent chordee (1–2%): Residual curvature; may need further correction.
- Psychological impact (rare): Addressed with counseling if needed.
Report fever, swelling, poor urine flow, or signs of infection (e.g., pus) promptly.
Frequently Asked Questions (FAQs)
What causes hypospadias?
Genetic factors, hormonal imbalances during fetal development, or environmental factors; occurs in 1 in 200–300 male births.
Can I avoid hypospadias repair?
Yes, if mild (distal, no functional issues): Monitor; surgery is recommended for urination difficulties or cosmetic concerns.
Is hypospadias repair painful?
Mild to moderate pain for 3–5 days, managed with medication; children recover quickly.
How soon can my child resume normal activities?
Normal play: 2–3 weeks; full recovery: 4–6 weeks; avoid straddling activities for 4–6 weeks.
Is hypospadias repair covered by insurance in India?
Yes, for congenital defects; confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Fever, swelling, poor urine flow, or signs of infection.
Will my child have normal urination and appearance?
85–95% achieve normal function and appearance; proximal cases may need revisions (5–15%).
Lifestyle changes post-surgery?
Keep area clean, avoid straddling activities, monitor urine stream, and attend follow-ups until puberty.
Conclusion
Hypospadias repair is a safe and effective procedure to correct a congenital urethral defect, improving urinary function and appearance with a high success rate. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable care, often covered by insurance or subsidized. Understanding the procedure, costs, recovery, risks, and FAQs helps caregivers approach surgery confidently. Consult a pediatric urologist for personalized guidance.
Looking for Best Hospitals for Hypospadias Repair
Note: we are not promoting any hospitals
we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₹) | Maximum Price (₹) |
|---|---|---|
Agra |
40,000 |
1,30,000 |
Ahmedabad |
50,000 |
1,50,000 |
Ajmer |
40,000 |
1,30,000 |
Aligarh |
40,000 |
1,30,000 |
Allahabad |
40,000 |
1,30,000 |
Amritsar |
45,000 |
1,40,000 |
Aurangabad |
45,000 |
1,40,000 |
Bangalore |
50,000 |
1,50,000 |
Bareilly |
40,000 |
1,30,000 |
Belgaum |
45,000 |
1,40,000 |
Bhopal |
45,000 |
1,40,000 |
Bhubaneswar |
45,000 |
1,40,000 |
Bikaner |
40,000 |
1,30,000 |
Chandigarh |
50,000 |
1,50,000 |
Chennai |
50,000 |
1,50,000 |
Coimbatore |
50,000 |
1,50,000 |
Dehradun |
45,000 |
1,40,000 |
Delhi |
50,000 |
1,50,000 |
Dhanbad |
40,000 |
1,30,000 |
Durgapur |
40,000 |
1,30,000 |
Faridabad |
50,000 |
1,50,000 |
Ghaziabad |
50,000 |
1,50,000 |
Gorakhpur |
40,000 |
1,30,000 |
Guntur |
45,000 |
1,40,000 |
Gurgaon |
50,000 |
1,50,000 |
Guwahati |
45,000 |
1,40,000 |
Gwalior |
40,000 |
1,30,000 |
Hyderabad |
50,000 |
1,50,000 |
Indore |
45,000 |
1,40,000 |
Jabalpur |
40,000 |
1,30,000 |
Jaipur |
50,000 |
1,50,000 |
Jalandhar |
45,000 |
1,40,000 |
Jamshedpur |
45,000 |
1,40,000 |
Jodhpur |
40,000 |
1,30,000 |
Kanpur |
40,000 |
1,30,000 |
Kochi |
50,000 |
1,50,000 |
Kolkata |
50,000 |
1,50,000 |
Kollam |
45,000 |
1,40,000 |
Lucknow |
45,000 |
1,40,000 |
Ludhiana |
50,000 |
1,50,000 |
Madurai |
45,000 |
1,40,000 |
Mangalore |
45,000 |
1,40,000 |
Meerut |
40,000 |
1,30,000 |
Moradabad |
40,000 |
1,30,000 |
Mumbai |
50,000 |
1,50,000 |
Mysore |
50,000 |
1,50,000 |
Nagpur |
45,000 |
1,40,000 |
Nashik |
45,000 |
1,40,000 |
Navi Mumbai |
50,000 |
1,50,000 |
Noida |
50,000 |
1,50,000 |
Patna |
40,000 |
1,30,000 |
Pune |
50,000 |
1,50,000 |
Raipur |
45,000 |
1,40,000 |
Rajkot |
45,000 |
1,40,000 |
Ranchi |
40,000 |
1,30,000 |
Surat |
50,000 |
1,50,000 |
Thane |
50,000 |
1,50,000 |
Vadodara |
45,000 |
1,40,000 |
Varanasi |
40,000 |
1,30,000 |
Visakhapatnam |
45,000 |
1,40,000 |
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.