Goals of Hypospadias Surgery
The main objectives of the surgery are:
- To reposition the urethral opening to the correct place (at the tip of the penis).
- To straighten the penis if curvature (chordee) is present.
- To ensure a normal urinary stream without spraying or straining.
- To restore natural appearance and proper sexual function in the future.
Surgical Techniques
The choice of surgical method depends on the type and severity of hypospadias:
- Distal Hypospadias Repair – For mild cases where the opening is closer to the tip.
- Proximal Hypospadias Repair – For severe cases where the opening is located near the scrotum or perineum.
- Tubularized Incised Plate (TIP) Repair / Snodgrass Procedure – The most commonly performed technique that uses existing tissue to create a new urethra.
- Staged Repair – In complex cases, the surgery may be performed in two stages for better results.
Benefits of Hypospadias Surgery
- Corrects the position of the urethral opening.
- Restores natural urine flow and prevents spraying.
- Improves penile appearance, boosting confidence.
- Prevents complications like urinary tract infections and fertility issues later in life.
- Provides long-term improvement in sexual and reproductive health.
Recovery & Aftercare
After surgery, a soft catheter may be placed temporarily to allow healing. The child or patient usually recovers within 2–3 weeks. Regular follow-ups are necessary to check for complications such as fistula formation (leakage) or stricture. With modern surgical techniques and the expertise of the best urologists, success rates of hypospadias surgery are very high.
Why repair hypospadias
- A straight urine stream so the child can stand to pass urine
- A straight erection in adult life
- A normal appearance
Babies with hypospadias should not be circumcised before repair, as the foreskin is often used in the reconstruction.
Care after surgery
A small dressing and a fine catheter or stent stay for several days. Parents are shown how to care for the dressing, give medicines and recognise problems. Follow-up checks the stream and healing; a small number of children need a second minor procedure for a fistula or narrowing.
Why Dr. Nitin Negi
Hypospadias surgery in Jaipur with the best urologist in Jaipur
- MCh super-specialistMBBS, MS (Surgery), MCh in Genitourinary Surgery; clinical training at AIIMS, New Delhi.
- 25,000+ proceduresEndourological surgeries including RIRS, Mini-PERC, PCNL, HoLEP, TURiS and TURP.
- 150W Holmium laserRajasthan’s first, at ManglamPlus Medicity, for faster, safer stone and prostate surgery.
- Clear explanationsEvery option, risk and cost discussed before treatment; two convenient Jaipur locations.
Frequently asked questions
What is the best age for hypospadias surgery?
Usually between 6 and 18 months, but repair can be done in older children and adults too.
Should my son be circumcised before repair?
No. The foreskin is often needed for the reconstruction, so circumcision should wait.