Hypospadias repair surgery | Here is all you need to know

Hypospadias repair surgery

Hypospadias refers to a birth defect in baby boys in which the opening to pass urine (urethra) is not located on the tip of the baby’s penis. The primary function of the penis is to pass urine and sperm out of the body. To perform both functions properly, the urethra must be located at the right place on the penis. Moreover, in some cases of hypospadias, the baby may also have a curved penis, leading to further issues. It may sound horrible, but you don’t need to worry; it is treatable with hypospadias repair surgery. According to research studies, every 1 out of 200 babies suffers from the condition that makes it one of the most prevalent birth defects.

Cause of Hypospadias 

The leading cause of the condition is still unknown. However, it is believed that a combination of hereditary genes and other factors such as the environment, the mother’s diet or any medication taken during or right before the pregnancy. However, the Centers for Disease Control and Prevention has reported in recent years that following the factor may contribute to hypospadias in baby boys

Age & Weight: If the mother ages 35 and falls into the category of obese, she may be at the risk of having a baby with hypospadias.

Fertility treatment: Women who have undergone fertility treatments to conceive are at the risk of having a baby with hypospadias.

Hormones: If the mother has taken any dosage of specific hormones right before or during the pregnancy, she may have a baby with hypospadias. The baby’s penis is formed from 9 weeks of pregnancy to 12 weeks. During this period, the male hormones direct the formation of the urethra and the foreskin. Hence, any change in hormone levels may also be the cause of hypospadias in baby boys.

Types of hypospadias

Before we jump on to the hypospadias repair surgery, we must discuss the types of hypospadias. The condition is categorized based on the location of the urethra opening, such as the following.

  • Subcoronal: urethra is near the head of the penis
  • Midshaft: the urethra opening is along the penis shaft.
  • Penoscrotal: the urethra is at the point where the penis and scrotum meet.
  • Perineal: the opening lies behind the scrotal sac.
  • Indeed, the treatment dramatically depends upon the type of hypospadias your baby has!


Mainly, hypospadias is observed after the birth of the baby. The condition not only results in the wrong location of the opening but the incomplete development of the foreskin that leaves the tip of the penis exposed. Furthermore, sometimes it seems that there are two different openings; however, the urine exits from the opening on the bottom of the penis. On the contrary, in some cases, the baby has abnormal foreskin with the opening in the correct location. A complete foreskin may also cover an abnormal opening. Lastly, every 8 in 100 boys with hypospadias also suffer from undescended testis.

Irrespective of your child’s condition, Dr Mohsin at ALSA Pakistan provides highly affordable hypospadias surgery.

Hypospadias repair surgery 

It may be a buster to you, but surgeons have been correcting hypospadias with surgery since the 1800s. Hence, more than 200 various operation techniques have been registered to treat the condition. However, in recent times, we have used state-of-the-art tools to perform advanced techniques for the best hypospadias surgery. In the end, the main goal is to straighten the penis with a urinary channel that ends at the tip, just as normal. During the surgery, the surgeon may use the foreskin; therefore, babies with hypospadias must not be circumcised before the surgery.

The typical repair surgery for hypospadias is performed under general anesthesia, which means that your baby will be sound asleep during the surgery. Furthermore, the professionals also give caudal anesthesia to relieve pain in the area. The surgery may take 90 minutes to 3 hours as it consists of the following steps.

  • The surgeon straightens the shaft of the penis
  • He makes up the incomplete urinary channel
  • Positions the opening on or near the tip of the penis
  • Circumcision or reconstructing of the foreskin.

Depending upon the hypospadias type, the surgery may be staged, which means that there will be more than one surgery. Mostly, babies with severe curvature need staged surgery. Indeed, it is vital to straighten the penis before reconstructing the urinary tract.

The hypospadias repair surgery may sound scary; however, the statistics indicate that the repair has been 88%-95% successful. The surgery is preferably performed at 6 to 12 months, so the penis grows correctly. Most of the patients don’t even remember they had the condition. However, if it is impossible, it can be carried out at any age, even in adolescence. The repair lasts a lifetime if you sign up for the best affordable hypospadias surgery with a competitive pediatric surgeon.

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