A Journey of Hope from Bangladesh: Successful Two-Stage Hypospadias Repair

When baby DD was born in Bangladesh, he was diagnosed with hypospadias, a congenital condition affecting the urinary opening. Like many parents receiving this diagnosis for the first time, his family was overwhelmed with anxiety and uncertainty. They began searching online for reliable information and expert treatment options and discovered Hypospadias Foundation in Navi Mumbai, India.

When he was just 6 months old, his parents contacted our team. During a detailed telephonic consultation, we explained the nature of his condition, the available treatment options, and the ideal timing for hypospadias surgery. Reassured by the guidance they received, the family planned to visit our centre when he turned one.

Unfortunately, international travel challenges delayed their plans, and they were only able to come to India for surgery when he was 2 years old.

A Complex Hypospadias Case Requiring a Staged Repair

On evaluation, DD had distal penile hypospadias. Although the urinary opening was located distally, he had significant penile chordee (curvature), making a single-stage repair unsuitable. A two-stage hypospadias repair was planned to achieve the best functional and cosmetic outcome.

Stage 1 Surgery
The primary goal of the first stage was complete correction of the penile curvature. This involved complete correction of chordee by urethral plate division, proximal urethral mobilization, ventral corporotomies and dermal graft placement for ventral penile lengthening. The hypospadias surgery was successful, resulting in a completely straight penis and preparing the tissues for definitive urethral reconstruction. The primary goal of the first stage was complete correction of the penile curvature. This involved complete correction of chordee by urethral plate division, proximal urethral mobilization, ventral corporotomies and dermal graft placement for ventral penile lengthening. The hypospadias surgery was successful, resulting in a completely straight penis and preparing the tissues for definitive urethral reconstruction.

Pic 1: Distal penile hypospadias with thin urethra and more than 30°chordee noted

Pic 2: Complete chordee correction done by ventral lengthening procedure dermal graft and byars flap created from dorsal prepuce

Stage 2 Surgery
One year after the first procedure, DD underwent the second-stage urethroplasty to reconstruct the urethra. The surgery was completed successfully, and his postoperative recovery was smooth. He achieved an excellent urinary stream along with a natural cosmetic appearance, providing an outstanding functional and aesthetic result.

Pic 3: At 1 year after stage 2, stage 2 urethroplasty was planned. Flaps were healthy and stage 2 urethroplasty was done

A Familys Heartfelt Gratitude

Mast DDs parents were overjoyed with the outcome and wished to share their experience so that other families facing a similar diagnosis can seek expert treatment at the appropriate age without unnecessary delay.

This is the message they shared with our team:

Respected Dr. A. K. Singal Sir and Dr. Ashwitha Shenoy Madam,

Namaskar.

We would like to express our deepest gratitude and sincere appreciation to all of you for the exceptional care, compassion, and support you have provided to our son, and our family throughout this journey.

Your professionalism, dedication, kindness, and loving approach have touched our hearts in ways that words can hardly express. Every interaction with the MITR Hospital and Hypospadias foundation team reflected genuine concern and commitment, making us feel supported and reassured during a challenging time.

You will always hold a special place in our hearts, and we shall remain forever grateful for everything you have done for our son. The outstanding service, warmth, and humanity we experienced at MITR Hospital have truly inspired us.

We humbly request your blessings for our son’s continued good health and happiness. Thank you once again for your invaluable care, dedication, and kindness. We will always remember your support with immense respect and gratitude.

With heartfelt thanks and warm regards,

DD’s Family

About Hypospadias foundation

Hypospadias Foundation located within MITR Hospital, Kharghar, Navi Mumbai, is a super- specialized center dedicated exclusively to the treatment of children and adults with hypospadias. Since its establishment in 2006, the foundation has become one of the worlds leading centers for hypospadias surgery, treating patients from more than 30 countries as well as from across India. Dr. A.K. Singal is a renowned and top Pediatric Urologist and Hypospadias specialist practicing in Navi Mumbai. Dr. Singals passion and expertise in Hypospadias led him to establish the hypospadias foundation in 2006. The Hypospadias Foundation is the Worlds best, and Indias only hospital dedicated to caring for children and adults with hypospadias. It is considered as the best hospital for hypospadias surgery in India.

Dr Shenoy along with Dr Singal aims to provide world class surgery and treatment for children and adults with hypospadias and DSD. They have helped thousands of children and adults with hypospadias from all over the world.

If you or your child has hypospadias and you wish to contact Hypospadias foundation, you can contact us by following methods:

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