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Information for Parents

Hypospadias

  • What is this disease?

    • Hypospadias refers to a urethral meatus ("pee-hole") which is located along the underside, rather than at the tip of the penis. The opening may be located on the underside of the penis, in the glans or may even be entirely absent, with the urine exiting the bladder behind the penis.

  • How it is diagnosed?

    • Hypospadias is  diagnosed by clinical examination only.

  • How it is treated?

    • Surgery is the only modality available to treat this condition.

  • When it should be operated?

    • The surgery for Hypospadias should be done after around 9 months of age, depending upon size of penis.

  • Are there other alternative methods of treatment?

    • Medical management is not successful in this condition.

  • What all I need to know before my child surgery?

    • Read “All you need to know before your child's surgery” information booklet in website.

  • How is the surgery done?

    • The surgeon uses the skin on the penis or prepuce  to create a tube so that urethral opening can be made at the tip of the penis. Sometimes staged surgery is needed

  • Remarks

    • For more details of surgery, contact your surgeon

  • Related Photographs and videos

    • Few photographs of steps done by me is given here for learning purposes

    • For more details, visit www.hypospadias.co.in 

    • My experience with Hypospadias cases

    • ​Dr Shandip Kumar Sinha has extensive interest and experience in hypospadias repair. Apart from observing, understanding and performing basics of hypospadias repair during training days during Mch in high volume Centre like KGMU Lucknow, where he has been exposed to more than 100 cases of different types of Hypospadias, he continued his interest in Hypospadias surgery. After that, as faculty in high volume canters of CNBC and MAMC, he was exposed to average of 100 cases per year, where he taught and researched on various aspect, including genetics, of Hypospadias.  During his last five years in corporate sector, he is performing many cases of hypospadias per year. This includes redo international cases also. The results of the surgery can be seen by medical personals in section- Hypospadias for Medical Personals.

    • Dr Shandip kumar sinha thesis in MCh(Pediatric Surgery) was on assessment of Surgical techniques in Anterior and Mid penile Hypospadias

    • After MCh, he continued his interset in hpospadias repair in Chacha Nehru Bal Chikitsalaya and Maulala Azad Medical College, Delhi, India as faculty. Apart from operating hypospadias, he helped students in thesis on hypospadias (Role of uroflowmetry before and after hypospadias repair) and had publications in topic of hypospadias. 

    • Kureel SN, Vasudeva P, Sinha SK  , Dalela D. “Limited” double dorsal dartos flap coverage. An effective alternative to conventional flap coverage of the neourethra following Mathieu repair for subcoronal hypospadias. Int Urol Nephrol.  2008 ;40 :569-72.PubMed

    • Dhua AK, Aggarwal SK, Sinha SK, Ratan Simmi K. Soft tissue covers in hypospadias surgery: Is tunica vaginalis better than Dartos flap? J Indian Assoc Pediatr Surg. 2012 Jan;17(1): 16-19.PubMed

    • Ratan SK, Sharma A, Kapoor S, Polipalli SK, Dubey D, Mishra TK, Sinha SK, Agarwal SK. Polymorphism of 3′ UTR of MAMLD1 gene is also associated with increased risk of isolated hypospadias in Indian children: a preliminary report  Pediatr Surg Int. 2016 May;32(5):515-24.PubMed

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