Distal penile hypospadias is the most common type of hypospadias in children. The urethral opening is located on the underside of penis but in last 1/3 of the penis. While some of the distal hypospadias may have an associated bend in penis called Chordee, most of the distal hypospadias may not have a chordee. There are many types of hypospadias surgery techniques described and the hypospadias surgeon selects the type of repair depending on the anatomy.
The key factors in deciding the repair are:
Snodgrass repair or Tubularised incised plate urethroplasty was described by Dr Warren Snodgrass in 1992 and relies on using the natural tissues of penis on the underside for making a new urinary passage. The basic concept is midline incision of the open urethra from the urinary opening till the head of penis. This expands the urethral plate and allows it rolled into a new urethral tube which can heal very well.
The critical steps are:
Follow-up and care after hypospadias repair surgery with TIP urethroplasty:
Most of the children are discharged by the evening of hypospadias surgery. Antibiotic syrup, pain killers and antispasmodic medicines are given for a week’s time. The parents are taught double diaper care and we call the children for follow-up after 5-7 days for removal of dressing and catheter at the same time. The hypospadias dressing is removed in clinic itself and the parents are advised to apply an antibiotic ointment on the penis for 2-3 weeks. Bath can be given as soon as the dressing is removed. We call for follow-up two weeks after catheter removal and after 3 months if everything is healing well.
About the author:
Dr A.K.Singal is a renowned Pediatric Urologist and Hypospadias Surgeon practicing in western india in area of Mumbai, Navi Mumbai and Thane. He is counted as one of the best hypospadias expert surgeons in the world and every year manages more than 200 kids and adults with hypospadias. He started Hypospadias Foundation in 2008 and Hypospadias Foundation remains the world’s only organisation dedicated to children with Hypospadias. Children from more than 20 countries travel every year to India to consult for hypospadias treatment under his team’s care.
He is available at the following clinics : Clinics and Timings for Dr A.K.Singal
Watch video of Distal penile hypospadias repair surgery video by Dr A.K.Singal
Watch video of Single stage repair surgery of severe hypospadias by Dr A.K.Singal
Watch Video of repair of glanular hypospadias with chordee by Dr A.K.Singal
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Posted in About Hypospadias,For Parents and Patients,Hypospadias surgeon India,Hypospadias Surgeon Thane,Hypospadias Surgery,Hypospadias surgery video | Posted by Dr. A K Singal | Posted on December 4, 2014 by Dr. A K Singal | Tagged after hypospadias surgery, best hypospadias hospital, flap repair for hypospadias, hypospadias clinic in india, hypospadias surgeon bhopal, hypospadias surgeon in MP, hypospadias surgeon India, hypospadias surgery india, one stage surgery for hypospadias, onlay flap urethroplasty, onlay island flap hypospadias repair, results of hypospadias, results of scrotal hypospadias surgery, scrotal hypospadias, scrotal hypospadias repair, scrotal hypospadias surgery, severe hypospadias, single stage urethroplasty, urethroplasty for scrotal hypospadias