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.
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.
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
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.
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.
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 to Consult for Hypospadias Surgery in Lucknow
Parents should seek an early evaluation if a newborn has an abnormal urinary
opening, hooded foreskin, downward penile curvature, or an unusual urine stream.
Early diagnosis helps in planning the most appropriate timing of
hypospadias surgery in Gomti Nagar Extension, Lucknow and also
avoids mistakes such as circumcision before repair, which may remove tissue that
can be needed during reconstruction.
At Swastik Urology Clinic, Dr. Aditya Sengar evaluates the exact site of the
meatus, presence of chordee, quality of urethral plate, and whether the repair
is best done in a single stage or a staged approach. Older children and adults
with unrepaired hypospadias, spraying urine, penile bending, or cosmetic concern
can also benefit from specialist reconstruction and follow-up.
Signs You Should Not Ignore
- Urine passing from below the tip of the penis
- Downward curvature during erection or while handling the penis
- Difficulty aiming the urine stream or persistent spraying
- Previous failed hypospadias repair needing revision surgery
Our Follow-Up Focus
- Wound healing and catheter or stent care
- Monitoring for fistula, stenosis or stricture
- Assessment of urinary stream and penile straightening
- Long-term cosmetic and functional outcome review
Book Hypospadias Evaluation at Swastik Urology Clinic
If you are searching for a trusted doctor for
hypospadias surgery in
Lucknow, Swastik Urology Clinic offers careful counselling,
surgical planning and post-operative care for infants, children and adults.
Families from Gomti Nagar Extension, Indira Nagar, Chinhat and nearby areas can
consult us for expert assessment and a clear treatment roadmap.
You may also explore related paediatric urology services such as
Posterior
Urethral Valve treatment,
PUJO
treatment, and
VUR
treatment at our clinic.
Frequently Asked Questions About Hypospadias Surgery
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.
