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.
Picture of the family who visited all the way from Gurgaon for their child’s hypospadias surgery
He was managed with multiple urethral dilatations for the poor urinary stream; however, the procedure was painful and ineffective. As his condition worsened and he became unable to pass urine per urethra, a suprapubic catheter (SPC) was inserted to allow urinary drainage directly from the bladder.
The child and his parents became increasingly distressed and sought further treatment options. They contacted hypospadias foundation and travelled to Navi Mumbai to meet us in our Hypospadias Clinic at MITR Hospital.
On examination at hypospadias foundation clinic, the urethral opening (meatus) was found to be completely stenosed, preventing urination through the meatus. After assessment we explained to the parents that the previous repair has failed and that redo surgeries in 2-3 stages would be required to completely correct it.
The first step involved cystoscopic evaluation. A small-caliber endoscope was introduced to assess the reconstructed urethra, which was found to be completely obliterated. The native urethra with normal calibre was identified at the proximal penile level, and a new urethral opening (urethrostomy) was created at this site to restore urinary flow. Following this, the suprapubic catheter was removed, and the child was able to pass urine normally through the new opening. This gave the child an immediate relief and he became pain free.
After a 4-month interval, Stage 1 repair was performed. This involved excision of the unhealthy, strictured urethral segment and placement of an oral mucosa graft.
Eight months later, stage 2 repair (urethroplasty) was completed by tubularizing the graft and reconstructing a new urethra. The urinary catheter was removed 12 days postoperatively. Aftercatheter removal, the child voided with a good, single, straight urinary stream from the tip of penis without pain or discomfort.
At follow-up more than one year after stage 2 repair, the child remains asymptomatic with no complications. Long-term follow-up is planned, including reassessment at around 15 years of age.
Parent Testimonial: The parents were emotionally overwrought and distressed, but now that their child is cured are very thankful and shared a heartfelt letter.
I, Monika, would like to share my experience of my son’s treatment for hypospadias.
My son was diagnosed with hypospadias, and we initially got his surgery done in Gurgaon by a highly reputed surgeon known for treating such cases. His first surgery was performed in April 2023. However, after the surgery, my son was in severe, excruciating pain. He had a urinary catheter for 15 days, and once it was removed, he faced significant difficulty while passing urine.
When we consulted the surgeon, we were told that this was normal. But as parents, we felt something was not right. When his condition did not improve, we went back again, and we were advised that a second surgery would be needed. This was done in May 2023, just one month after the first surgery. Unfortunately, even after the second surgery, he was still unable to pass urine properly.
He then underwent a third surgery in June 2023, but sadly, that too was unsuccessful.
Around this time, we consulted Dr. A.K. Singal and Dr. Ashwitha Shenoy at the Hypospadias Foundation, Navi Mumbai. They clearly explained to us that the previous hypospadias repairs had failed and that the entire procedure would need to be redone in stages. We also sought opinions from some of the top hospitals in Delhi, but we were not fully confident and did not want to take any further risks with our child.
Finally, we decided to travel to Mumbai and consult Dr. Singal and Dr. Shenoy. We met them in August 2023, and from the very first consultation, we felt reassured that we had found the right place for our son. They explained everything with complete transparency and told us that he would need 2–3 surgeries, but that a full recovery was achievable.
My son underwent two surgeries, spaced 8 months apart, and after these procedures, he recovered completely. What stood out the most was that during these surgeries, he did not experience even a fraction of the pain he had endured earlier.
Today, we are extremely happy and deeply grateful to Dr. A.K. Singal and Dr. Ashwitha Shenoy. They are not only highly skilled surgeons but also compassionate and kind-hearted individuals who truly care for their patients.
We would strongly advise parents not to take risks when it comes to hypospadias treatment. In our experience, this hospital and these doctors are among the very best. We wholeheartedly recommend them for any child requiring hypospadias repair.
We are very thankful to Monika, her husband and the entire family for trusting us with the care of their son. We wish him all the best of health.
Hypospadias foundation:
At Hypospadias Foundation, we are deeply committed to personalised care and best outcomes for children and adults with Hypospadias. Our management protocol begins with a detailed assessment, often including remote consultations using clinical history, photographs, and prior medical records. We strongly emphasize that failed hypospadias should be treated only by experienced hypospadias surgeons, as outcomes depend heavily on surgical expertise, proper technique selection and experience with complex redo cases. Many failures are linked toinappropriate initial technique or lack of specialization. At hypospadias foundation, we treat children and adults from more than 30 countries with primary and failed hypospadias. Even in failed cases, our success rate is more than 90-95%.
Dr. A.K. Singal is a renowned and top Pediatric Urologist practicing in Navi Mumbai. Dr. Singal’s passion and expertise in Hypospadias led him to establish the hypospadias foundation in 2006. The Hypospadias Foundation is the World’s First and India’s 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 aim to provide world class surgery and treatment for children and adults with hypospadias and DSD. They have helped more than thousands of children and adults with hypospadias from all over the world.
If you or your child has hypospadias and you wish contact Hypospadias foundation, you can contact us by following methods: