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Hypospadias Surgery in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic provides safe, advanced and cosmetically precise hypospadias surgery for infants, children and adults under the care of Dr. Aditya Sengar (Urologist). We prioritise restoration of normal urinary function, a straight penis without chordee and an anatomically placed meatus to ensure excellent urinary and future sexual outcomes.
What is Hypospadias?
Hypospadias is a congenital condition in which the urinary opening (meatus) is located on the underside of the penis rather than at its tip. It commonly presents with a trend: an abnormal foreskin (dorsal hood), downward curvature of the penis known as chordee, and variable displacement of the meatus ranging from just below the tip to the base of the penis or near the scrotum.
Early assessment helps plan the appropriate timing and type of repair to achieve the best functional and cosmetic result.
Early assessment helps plan the appropriate timing and type of repair to achieve the best functional and cosmetic result.
Types of Hypospadias
• Distal/Anterior – meatus near the glans or coronal sulcus
• Mid-shaft – meatus along the penile shaft
• Proximal – meatus at penoscrotal junction, scrotum or perineum
Severity and associated chordee determine the reconstructive approach.
• Mid-shaft – meatus along the penile shaft
• Proximal – meatus at penoscrotal junction, scrotum or perineum
Severity and associated chordee determine the reconstructive approach.
Symptoms & Concerns
• Spray or abnormal direction of urine stream
• Difficulty aiming or sitting to void
• Penile curvature during erection (chordee)
• Cosmetic concerns causing parental anxiety or later psychosocial impact
• Difficulty aiming or sitting to void
• Penile curvature during erection (chordee)
• Cosmetic concerns causing parental anxiety or later psychosocial impact
Causes & Risk Factors
Although the exact cause is multifactorial, risk factors include family history, hormonal influences during fetal development and prematurity. Hypospadias is not caused by anything parents did during pregnancy.
Ideal Age for Repair
The preferred age for elective repair is typically 6–18 months. Surgery can be performed later if needed; we provide expert care for older children and adults as well.
Why Choose Swastik Urology Clinic for Hypospadias Surgery?
• Experienced Paediatric & Adult Urology Care – Dr. Aditya Sengar
Skilled in contemporary hypospadias techniques with attention to both function and cosmesis.
• Modern Surgical Techniques
We offer TIP (Snodgrass) repair for distal hypospadias, onlay flap repairs, chordee correction and staged urethroplasty for complex proximal cases.
• Child-Friendly Perioperative Care
Safe anaesthesia protocols, minimal blood loss, effective pain control and tailored post-operative instructions to ensure comfortable and fast recovery.
• Cosmetic Precision & Long-Term Follow-Up
Emphasis on neat meatal placement, straightening of the penis and long-term monitoring to address any fistula, stenosis or cosmetic concern promptly.
Skilled in contemporary hypospadias techniques with attention to both function and cosmesis.
• Modern Surgical Techniques
We offer TIP (Snodgrass) repair for distal hypospadias, onlay flap repairs, chordee correction and staged urethroplasty for complex proximal cases.
• Child-Friendly Perioperative Care
Safe anaesthesia protocols, minimal blood loss, effective pain control and tailored post-operative instructions to ensure comfortable and fast recovery.
• Cosmetic Precision & Long-Term Follow-Up
Emphasis on neat meatal placement, straightening of the penis and long-term monitoring to address any fistula, stenosis or cosmetic concern promptly.
Surgical Options & What to Expect
Treatment is individualised depending on anatomy and severity:
1. Single-stage repairs (eg. TIP / Snodgrass)
• Commonly used for distal and many mid-shaft hypospadias.
• Creates a new urethral tube using local tissue with a protective covering layer to reduce fistula risk.
2. Onlay flap and tubularised flap techniques
• Useful when local tissue needs augmentation; chosen based on local anatomy.
3. Staged urethroplasty
• For severe proximal hypospadias or when tissues are scarred, the repair is done in two stages to optimise outcome.
4. Chordee correction
• Any penile curvature is corrected during repair to ensure a straight penis for voiding and future sexual function.
5. Post-operative care
• A small dressing and urethral stent or catheter may be left for a few days.
• Antibiotics and analgesics are provided; follow-up visits ensure proper healing and early identification of complications.
1. Single-stage repairs (eg. TIP / Snodgrass)
• Commonly used for distal and many mid-shaft hypospadias.
• Creates a new urethral tube using local tissue with a protective covering layer to reduce fistula risk.
2. Onlay flap and tubularised flap techniques
• Useful when local tissue needs augmentation; chosen based on local anatomy.
3. Staged urethroplasty
• For severe proximal hypospadias or when tissues are scarred, the repair is done in two stages to optimise outcome.
4. Chordee correction
• Any penile curvature is corrected during repair to ensure a straight penis for voiding and future sexual function.
5. Post-operative care
• A small dressing and urethral stent or catheter may be left for a few days.
• Antibiotics and analgesics are provided; follow-up visits ensure proper healing and early identification of complications.
Possible Complications & Long-Term Outcomes
Most patients experience excellent functional and cosmetic results. Potential complications include urethrocutaneous fistula (small abnormal opening), meatal stenosis (narrowing), urethral stricture or persistent curvature. These are uncommon with careful technique and are usually correctable. Long-term outcomes include normal urination, satisfactory penile appearance and preserved erectile and reproductive function when repaired appropriately.
When should hypospadias be repaired?
Elective repair is usually planned between 6 and 18 months of age to reduce psychological and functional issues later. However, evaluation and timing are individualised based on overall health and local anatomy.
Will my child need more than one surgery?
Many distal hypospadias cases are corrected with a single-stage repair. Complex or proximal hypospadias sometimes require staged repair. If minor complications occur (eg. small fistula), a secondary procedure may be needed.
How long is the recovery after hypospadias surgery?
Initial recovery takes a few days to a week with a urethral stent/catheter if placed. Full healing and assessment for complications is done over weeks to months. Your surgeon will provide specific instructions on wound care, activity and follow-up.
How to prepare for surgery and what questions to ask?
Discuss timing, technique, expected outcomes, risks (fistula, stenosis), need for catheter/stent, anaesthesia plan and follow-up schedule with your surgeon. Arrange help for post-operative care and follow instructions on fasting and medications prior to surgery.