A 10-year-old male child from Gurgaon, Haryana, presented with a history of penoscrotal hypospadias. He had undergone his first hypospadias repair surgery in July 2023 at the age of 9 years in Medanta Hospital Gurgaon. Following catheter removal after the initial surgery, he developed severe pain and burning during urination and was unable to empty his bladder completely. Over the next two months, his urinary stream progressively weakened, and he began experiencing recurrent urinary tract infections.
Prior to surgery, he received two doses of testosterone injections, which resulted in a noticeable improvement in penile size. A two-stage surgical repair was then planned. Following the second stage of surgery, the healing process was slower than expected, and he developed a fistula. This was successfully corrected with a minor surgical procedure performed 8 months after the second stage.
The family later shared their experience with the treatment and care provided.
“We would like to express our heartful gratitude to Dr A.K. Singal and Dr Ashwitha Shenoy and the entire medical team and staff for the exceptional care provided for our son during this surgery and treatment for hypospadias. From the very first consultation when our son was 6 months old to the post-surgery follow ups, they all have shown remarkable professionalism, compassion, and dedication. As parents, we were naturally anxious when our son by birth was diagnosed with severe chordee, hypospadias and required 2 surgeries because he had severe
hypospadias. However, from the moment we met Dr A.K. Singal and Dr Ashwitha Shenoy when our son was 6 months, we felt reassured by their knowledge, patience and compassion.
They explained the condition and the surgical procedure in detail and answered all our questions with great care. Felt like we were in safe hands from the first consultation itself. Two surgeries were performed successfully, and throughout the hospital stay the staff ensured our child was comfortable and well cared for. We are based out of Pune and travelled from Pune without any hassle and every minute and penny spent was worth it. Dr Ashwitha Shenoy goes out of her way and ensures she personally follows up on the status at regular intervals. She is very friendly with kids and knows exactly how to manage them. Our son has bonded with her in an organic way.
We are deeply thankful for the kindness and professionalism shown by the hospital. Seeing our son recover well has been a huge relief for our family. We sincerely appreciate the MITR hospital staff for their excellent care and dedication. Highly recommend for hypospadias, especially the patients from Pune.”
Hypospadias Foundation, Navi Mumbai, India
At Hypospadias foundation India, we have been taking care of children and adults with hypospadias for last 18 years with best-in-class surgery results. As in the present case, children with hypospadias and small penis should be evaluated properly before surgery by a hypospadias expert. This evaluation is important in childhood itself to lay a future healthy path for the child. This makes sure that any hormonal defects are diagnosed, size is corrected and then follow-up is ensured at puberty (12-13years of age) so that child achieves a normal penile size in adulthood. There are detailed measurements and counselling done before any hypospadias surgery at our centre. Dr A.K. Singal is currently rated as the best hypospadias surgeon in India for such cases. Dr Singal works along with Dr Shenoy at Hypospadias Foundation, MITR Hospital, Navi Mumbai to help children and adults get good results for treatment of hypospadias.