Best Hypospadias Doctors in Lucknow

Types/Stages of Hypospadias

The various forms of hypospadias include:

• Glanular: The urethral opening is located on the head (glans) of the penis.

• Coronal: The urethral opening is at the bottom of the head of the penis.

• Subcoronal: The urethral opening is located near the head of the penis.

• Midshaft: The urethral opening is along the middle of the penis shaft.

• Proximal Shaft: The urethral opening is located on the penis shaft, closer to the base but not at the level of the scrotum.

• Penoscrotal: The urethral opening is where the penis and scrotum meet.

• Scrotal: The urethral opening is anywhere on the front or bottom of the scrotum.

• Perineal: The urethral opening is behind the scrotum, closer to the perineum (the area between the scrotum and the anus).

Symptoms of Hypospadias

The key symptoms of hypospadias include:

• Opening of the urethra in a location other than the tip of the penis

• Downward curvature or bending of the penis, known as chordee, particularly noticeable during erections

• Abnormal spraying or direction of the urine stream during urination

• Incomplete development of the foreskin, resulting in a “hooded” appearance of the penis

Tests to Diagnose Hypospadias

Hypospadias is typically diagnosed by skilled doctors for hypospadias through the following tests:

• Physical Examination: This involves examining the external genitalia to identify the exact location of the urethral opening, any abnormal curvature of the penis (chordee), and inspection of the foreskin for a potential hooded appearance of the penis.

• Imaging Tests: An ultrasound imaging of the urinary tract may be recommended to check for any associated abnormalities.

• Other Diagnostic Tests: Other tests including karyotyping, hormone analysis, and pelvic imaging may be considered to rule out disorders of sexual development.

Treatment or Surgery Options for Hypospadias at Apollo Hospitals, Lucknow

At Apollo Hospitals in Lucknow, doctors for hypospadias treatment offer comprehensive treatment options for hypospadias:

• Surgical Repair: This is usually performed between 6 and 12 months of age. This procedure aims to reposition the urethral opening to the tip of the penis, straighten any curvature (chordee), and reconstruct the foreskin, if necessary.

• Flap or Graft Procedures: This procedure uses tissue grafts from other parts of the body to correct the position of the urethral opening.

• Adjuvant Hormonal Therapy: To promote penile growth and optimise surgical outcomes, pre-operative hormonal therapy with testosterone or human chorionic gonadotropin injections may be recommended.